Everlasting Adult Day Care Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

EVERLASTING ADULT DAY CARE INC

Practice address

4515 Eagle Rock Blvd
Los Angeles, CA 90041-3214

Phone

(323) 433-3525

Fax

(323) 344-3501

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Oscar Lictaoa Jornacion, CPA MBA

Title

Chairman of the Board

Phone

(323) 433-3521

Specialties & licenses 1

Addresses

Other names 1

• Everlasting Adult Day Health Care Center Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699873471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413214",
            "telephone_number": "323-433-3525",
            "fax_number": "323-344-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 EAGLE ROCK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413214",
            "telephone_number": "323-433-3525",
            "fax_number": "323-344-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING ADULT DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORNACION",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "LICTAOA",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "323-433-3521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA MBA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everlasting Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Day Care Clinic/Center in California

• 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.

Verify at the official NPI Registry.