Organization Active NPI

Compassion Care Center, Inc.

  • Rehabilitation Clinic/Center
  • Compton, CA
National Provider Identifier
1881931905
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
197458 Issued in CA
Legal business name
COMPASSION CARE CENTER, INC.
Practice address
900 W. Grenleaf Ave.
Compton, CA 90220
Phone
(310) 230-5574
Fax
(323) 373-9786
NPI assigned
Jan 9, 2013
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Timothy Alexander Lester Jr.
Title
Vice President
Phone
(310) 230-5574

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 7458 CA
Rehabilitation Clinic/Center 261QR0400X 197458 CA Primary

Addresses

Primary practice location

900 W. Grenleaf Ave.
Compton, CA 90220

Mailing address

2614 Crenshaw Blvd
Los Angeles, CA 90016-3057

Other identifiers 1

IdentifierTypeStateIssuer
7458OtherCAMEDI-CAL

National Provider Directory

National Provider Directory
Tax ID family
Compassion Care Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2614 Crenshaw Blvd
Los Angeles, CA 90016
Phone (310) 230-5574

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1881931905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900163057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W. GRENLEAF AVE.",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "90220",
            "telephone_number": "310-230-5574",
            "fax_number": "323-373-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-230-5574",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": "7458",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": "197458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7458",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Compton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.