Wiley Burke Adult Home Care, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

960001392 Issued in CA

Legal business name

WILEY BURKE ADULT HOME CARE, INC.

Doing business as

Downey Home Care II

Practice address

10247 Wiley Burke Ave
Downey, CA 90241-2172

Phone

(562) 928-7716

Fax

(310) 327-3129

NPI assigned

May 19, 2007

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Arceo

Title

Licensee

Phone

(310) 327-3237

Specialties & licenses 1

Addresses

Other names 1

• Downey Home Care II Doing business as

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1811105026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 W 141ST ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472221",
            "telephone_number": "310-327-3237",
            "fax_number": "310-327-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10247 WILEY BURKE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412172",
            "telephone_number": "562-928-7716",
            "fax_number": "310-327-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILEY BURKE ADULT HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ARCEO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "310-327-3237"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960001392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downey Home Care II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual Disabilities Intermediate Care Facility in Downey, CA
• Providers in Downey, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.