Organization Active NPI

Southwoods Living, Inc.

  • Assisted Living Facility
  • Harbor City, CA
National Provider Identifier
1952090912
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SOUTHWOODS LIVING, INC.
Practice address
23506 Clearpool PL
Harbor City, CA 90710-1111
Phone
(424) 250-9123
Fax
(213) 529-0774
NPI assigned
May 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Tina Cinco
Title
Administrator
Phone
(310) 525-8552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

23506 Clearpool PL
Harbor City, CA 90710-1111

Mailing address

23506 Clearpool PL
Harbor City, CA 90710-1111
Phone (424) 250-9123

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1952090912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23506 CLEARPOOL PL",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907101111",
            "telephone_number": "424-250-9123",
            "fax_number": "213-529-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23506 CLEARPOOL PL",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907101111",
            "telephone_number": "424-250-9123",
            "fax_number": "213-529-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWOODS LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "CINCO",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-525-8552"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.