Active NPI
Community of la Recuperative Care LLC
- Respite Care
- Pacoima, CA
National Provider Identifier
1700555042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- COMMUNITY OF LA RECUPERATIVE CARE LLC
- Doing business as
- COLARC
- Practice address
- 13856 Louvre St
Pacoima, CA 91331-3539 - Phone
- (818) 839-8911
- NPI assigned
- Sep 9, 2021
- Organization subpart
- Yes
- Parent organization
- COMMUNITY OF LA RECUPERATIVE CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Clyde Tan Gomez, MBA, BSBM
- Title
- Administrator
- Phone
- (818) 839-8911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
13856 Louvre St
Pacoima, CA 91331-3539
Mailing address
13856 Louvre St
Pacoima, CA 91331-3539
Other practice location 1
1497 W 29th St
Los Angeles, CA 90007-2955
Phone (818) 839-8911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 844572941 | Other | CA | PRIVATE |
Other names 1
- COLARC
National Provider Directory
National Provider Directory- Part of
- Community of la Recuperative Care LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759881600000",
"number": "1700555042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13856 LOUVRE ST",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913313539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13856 LOUVRE ST",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913313539",
"telephone_number": "818-839-8911"
}
],
"practiceLocations": [
{
"address_1": "1497 W 29th St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900072955",
"country_code": "US",
"telephone_number": "818-839-8911",
"fax_number": "818-696-8004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMMUNITY OF LA RECUPERATIVE CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMMUNITY OF LA RECUPERATIVE CARE LLC",
"enumeration_date": "2021-09-09",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "CLYDE",
"authorized_official_middle_name": "TAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "818-839-8911",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA, BSBM"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE",
"identifier": "844572941",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COLARC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pacoima, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.