Cyscodm Group, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CYSCODM GROUP, LLC

Doing business as

Cysco Divine Homecare

Practice address

400 Continental Blvd Ste 640
El Segundo, CA 90245-5076

Phone

(747) 238-2082

NPI assigned

Apr 18, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Margaret N Omeaku, CSCM

Title

Manager

Phone

(747) 238-2082

Specialties & licenses 1

Addresses

Other names 1

• Cysco Divine Homecare Doing business as

Locations

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1740843366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 CASIMIR AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903032512",
            "telephone_number": "323-742-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONTINENTAL BLVD STE 640",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455076",
            "telephone_number": "747-238-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYSCODM GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "OMEAKU",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "747-238-2082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSCM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cysco Divine Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Destin Custard
• Carmen Custodio
• Amanda Cutak
• Stephanie Cuzco Landi
• Augustina Cyr
• Nicholas D'Alesio, DO, MPH
• Sarina Da Rosa
• Da Vinci Connect
• Da Vinci Design
• Hamdi Daahir

• In Home Supportive Care Agency in El Segundo, CA
• Providers in El Segundo, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.