Active NPI
Dynasty Care Home Health, Inc.
- Home Health Agency
- Los Angeles, CA
National Provider Identifier
1669680435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DYNASTY CARE HOME HEALTH, INC.
- Practice address
- 8929 S Sepulveda Blvd
Suite 204
Los Angeles, CA 90045-3616 - Phone
- (310) 410-9998
- Fax
- (310) 410-9995
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marilou M Lugtu, RN
- Title
- Administrator
- Phone
- (310) 410-9998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
8929 S Sepulveda Blvd
Suite 204
Los Angeles, CA 90045-3616
Mailing address
8929 S Sepulveda Blvd
Suite 204
Los Angeles, CA 90045-3616
Phone (310) 410-9998
National Provider Directory
National Provider DirectoryLocations
8929 S Sepulveda Blvd
Ste 204
Los Angeles, CA 90045
Phone (310) 410-9998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669680435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8929 S SEPULVEDA BLVD",
"address_2": "SUITE 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453616",
"telephone_number": "310-410-9998",
"fax_number": "310-410-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8929 S SEPULVEDA BLVD",
"address_2": "SUITE 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453616",
"telephone_number": "310-410-9998",
"fax_number": "310-410-9995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNASTY CARE HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LUGTU",
"authorized_official_first_name": "MARILOU",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "310-410-9998",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.