Organization Active NPI

Sheridan Assisted Living, Inc

Doing business as Sheridan In Home Health Care

  • In Home Supportive Care Agency
  • Culver City, CA
National Provider Identifier
1679021216
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
194700194 Issued in CA
Legal business name
SHERIDAN ASSISTED LIVING, INC
Doing business as
Sheridan In Home Health Care
Practice address
3710 Robertson Blvd
216
Culver City, CA 90232-2350
Phone
(310) 204-1187
Fax
(310) 204-1218
NPI assigned
Sep 12, 2016
Last updated
Sep 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Susan Marie Dost
Title
Ceo
Phone
(310) 993-0265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 194700194 CA Primary

Addresses

Primary practice location

3710 Robertson Blvd
216
Culver City, CA 90232-2350

Mailing address

3710 Robertson Blvd
216
Culver City, CA 90232-2350
Phone (310) 204-1187

Other names 1

  • Sheridan In Home Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

3710 Robertson Blvd
#216
Culver City, CA 90232
Phone (310) 204-1187

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1679021216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 ROBERTSON BLVD",
            "address_2": "216",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322350",
            "telephone_number": "310-204-1187",
            "fax_number": "310-204-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 ROBERTSON BLVD",
            "address_2": "216",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322350",
            "telephone_number": "310-204-1187",
            "fax_number": "310-204-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN ASSISTED LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "DOST",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-993-0265",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "194700194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheridan In Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.