Active NPI
Citycare Homehealth Provider Inc
- Home Health Agency
- Hawthorne, CA
National Provider Identifier
1740722826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CITYCARE HOMEHEALTH PROVIDER INC
- Practice address
- 11633 Hawthorne Blvd
Suite 401
Hawthorne, CA 90250-2321 - Phone
- (323) 202-6920
- Fax
- (310) 695-1521
- NPI assigned
- Nov 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kunle S Onifade
- Title
- President/Ceo
- Phone
- (323) 202-6920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
11633 Hawthorne Blvd
Suite 401
Hawthorne, CA 90250-2321
Mailing address
11633 Hawthorne Blvd
Suite 401
Hawthorne, CA 90250-2321
Phone (323) 202-6920
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Citycare Homehealth Provider Inc
- Ownership
- -
- Certified
- Sep 13, 2021
- Medicare certification status
- Active
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
11633 Hawthorne Blvd
Ste 401
Hawthorne, CA 90250
Phone (323) 202-6920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478476800000",
"number": "1740722826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11633 HAWTHORNE BLVD",
"address_2": "SUITE 401",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502321",
"telephone_number": "323-202-6920",
"fax_number": "310-695-1521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11633 HAWTHORNE BLVD",
"address_2": "SUITE 401",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502321",
"telephone_number": "323-202-6920",
"fax_number": "310-695-1521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITYCARE HOMEHEALTH PROVIDER INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-07",
"last_updated": "2016-11-07",
"status": "A",
"authorized_official_last_name": "ONIFADE",
"authorized_official_first_name": "KUNLE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "323-202-6920",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.