CP S-Ca Private Duty, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

CP S-CA PRIVATE DUTY, LLC

Doing business as

Providence at Home with Compassus Home Care, So Cal

Practice address

200 W Center Street Promenade Ste 200a
Anaheim, CA 92805-3960

Phone

(866) 279-9991

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Terri Warren

Title

Chief Executive Officer

Phone

(310) 480-2982

Specialties & licenses 1

Addresses

Other names 1

• Providence at Home with Compassus Home Care, So Cal Doing business as

Locations

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1871315804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CENTER STREET PROMENADE STE 200A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CENTER STREET PROMENADE STE 200A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053960",
            "telephone_number": "866-279-9991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 Corona Pointe Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928791789",
            "country_code": "US",
            "telephone_number": "866-279-9991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CP S-CA PRIVATE DUTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-480-2982"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence at Home with Compassus Home Care, So Cal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Kay Cox, CTRS
• Lynn Deborah Cox, CNM
• Nora Coyle, LCSW
• CP Orange County S-Ca HH, LLC (Providence at Home with Compassus Home Health, Orange County)
• CP Orange County S-Ca Hospice LLC (Providence at Home with Compassus Hospice Care, Orange County)
• CPR Training Associates, Inc.
• Elizabeth Nicole Craig
• Emily Kandis Craighead
• Elizabeth Crawford
• Javin Crawford

• Nursing Care Agency in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.