Organization Active NPI

Silver Peaks LLC

  • In Home Supportive Care Agency
  • Long Beach, CA
National Provider Identifier
1811528227
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SILVER PEAKS LLC
Practice address
3780 Kilroy Airport Way Ste 200
Long Beach, CA 90806-2458
Phone
(855) 876-1466
Fax
(310) 803-9453
NPI assigned
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Amir Jordan EsmailNPI 1598372229
Title
Managing Member
Phone
(657) 955-4577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3780 Kilroy Airport Way Ste 200
Long Beach, CA 90806-2458

Mailing address

3780 Kilroy Airport Way Ste 200
Long Beach, CA 90806-2458
Phone (855) 876-1466

Other identifiers 1

IdentifierTypeStateIssuer
194700636OtherCACALIFORNIA DEPARTMENT OF SOCIAL SERVICES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1811528227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 KILROY AIRPORT WAY STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062458",
            "telephone_number": "855-876-1466",
            "fax_number": "310-803-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 KILROY AIRPORT WAY STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062458",
            "telephone_number": "855-876-1466",
            "fax_number": "310-803-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER PEAKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "ESMAIL",
        "authorized_official_first_name": "AMIR JORDAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "657-955-4577"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF SOCIAL SERVICES",
            "identifier": "194700636",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.