Mesocare Pca

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MESOCARE PCA

Practice address

826 Glenway Dr
Inglewood, CA 90302-2711

Phone

(310) 308-4094

Fax

(310) 673-1900

NPI assigned

Sep 29, 2016

Organization subpart

No

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

Authorized official

Name

Nkiruka Elizabeth Ifediba

Title

Owner

Phone

(310) 308-4094

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1689123788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 GLENWAY DR",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903022711",
            "telephone_number": "310-308-4094",
            "fax_number": "310-673-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 GLENWAY DR",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903022711",
            "telephone_number": "310-308-4094",
            "fax_number": "310-673-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESOCARE PCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "IFEDIBA",
        "authorized_official_first_name": "NKIRUKA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-308-4094"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.