Aquila Healthcare Systems, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980000772 Issued in CA

Legal business name

AQUILA HEALTHCARE SYSTEMS, LLC

Practice address

3450 Wilshire Blvd
Suite 1000
Los Angeles, CA 90010-2208

Phone

(213) 380-1399

Fax

(213) 380-4046

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Damon Clark

Title

Ceo

Phone

(213) 380-1399

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Aquila Healthcare Systems LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aquila Healthcare Systems, LLC

  dba Total Care Nursing Services

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1205011335
  NPD tax ID

Locations

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1720265093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CORPORATE POINTE STE 300-56",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307615",
            "telephone_number": "213-380-1399",
            "fax_number": "213-380-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 WILSHIRE BLVD",
            "address_2": "SUITE 1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102208",
            "telephone_number": "213-380-1399",
            "fax_number": "213-380-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUILA HEALTHCARE SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-380-1399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LLC FILE NUMBER",
            "identifier": "200320310073",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Apt, Gindi, Gordon & Kerman, M.D.'S, Inc. (Century City Eye Medical Group, Inc.)
• Aptus Pacem, LLC (Fair Oaks Manor III)
• Michael L. J. Apuzzo, M.D.
• Aqua Transport LLC
• Aquila Healthcare Systems, LLC (Total Care Nursing Services)
• Aquileo Martinez D.D.S., Inc.
• Susan Yanira Aquino Cobar, MSN, APRN, FNP-BC
• Aleenna Aquino
• Andres Aquino
• Carolina Aquino

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Feb 2, 2023; 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.