Organization Active NPI

C & C Quality Care Homes II

  • Nursing Facility/Intermediate Care Facility
  • Inglewood, CA
National Provider Identifier
1902025901
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
960000988 Issued in CA
Legal business name
C & C QUALITY CARE HOMES II
Practice address
3425 W 82ND PL
Inglewood, CA 90305-1602
Phone
(323) 758-3863
Fax
(323) 758-3863
NPI assigned
Apr 25, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mrs. Hortense G. Crawford, RNNPI 1588404792
Title
Administration
Phone
(323) 758-3863

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
Nursing Facility/Intermediate Care Facility 313M00000X 960000988 CA Primary

Addresses

Primary practice location

3425 W 82ND PL
Inglewood, CA 90305-1602

Mailing address

3425 W 82ND PL
Inglewood, CA 90305-1602
Phone (323) 758-3863

Other identifiers 1

IdentifierTypeStateIssuer
LTC80180FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
C C Quality Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1902025901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 W 82ND PL",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903051602",
            "telephone_number": "323-758-3863",
            "fax_number": "323-758-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 W 82ND PL",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903051602",
            "telephone_number": "323-758-3863",
            "fax_number": "323-758-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C QUALITY CARE HOMES II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "HORTENSE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "323-758-3863",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "960000988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80180F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.