Individual Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INDIVIDUAL CARE SERVICES

Practice address

13488 Maxella Ave
Unit 311
Marina del Rey, CA 90292-4300

Phone

(310) 795-5839

NPI assigned

Apr 22, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jeremiah Williams II

Title

Owner

Phone

(310) 795-5839

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1811317423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13488 MAXELLA AVE",
            "address_2": "UNIT 311",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902924300",
            "telephone_number": "310-795-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13488 MAXELLA AVE",
            "address_2": "UNIT 311",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902924300",
            "telephone_number": "310-795-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-795-5839",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Michelle Hubbard, M.D.
• Laurie Hubbard, P.T.
• Joseph Hughes Jr., D.C.
• Mark Huntsinger
• Independent Surgeons of America PC
• Ipc, the Hospitalist Comany
• Malinda Irvin
• Michelle Renee Itkonen, MD
• Samantha Jo Iwamoto, M.S., CCC-SLP
• Dee Valencia Jackson, RNP

• In Home Supportive Care Agency in Marina del Rey, CA
• Providers in Marina del Rey, 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 22, 2014; 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.