Queenscare Health Alliance

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

QUEENSCARE HEALTH ALLIANCE

Practice address

4618 Fountain Ave
Los Angeles, CA 90029-1830

Phone

(323) 635-1162

NPI assigned

Apr 25, 2025

Organization subpart

Yes

Parent organization

CHILDREN'S HOSPITAL LOS ANGELES MENTAL HEALTHAs reported in NPPES

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

Authorized official

Name

Barbara Hines

Title

President & Ceo

Phone

(323) 669-4302

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 551900

Legal name

QUEENSCARE HEALTH ALLIANCE-IVAN

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 27, 2001

Last certification

Nov 27, 2001

Ownership / control type

For profit – corporation

Facility address

4618 Fountain Avenue
Los Angeles, CA 90029

Tax ID family

Queenscare Health Alliance2 organizations share this tax ID, including this one

Part of

Hollywood Presby Med Ctr

Other organizations with this tax ID 1

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

• Queenscare Health Alliance

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1871363796
  NPD tax ID

Locations

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1952199556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S GRAND AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291830",
            "telephone_number": "323-635-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENSCARE HEALTH ALLIANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL LOS ANGELES MENTAL HEALTH",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "323-669-4302"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queenscare Family Clinics
• Queenscare Health Alliance
• Queenscare Health Alliance
• Queenscare Health Alliance
• Queenscare Health Alliance
• Eduardo A Quele Madrid
• Erica Mary Quenville, PA-C
• Carmen Alicia Queral, P.A.-C.
• Deanna Marie Quesada
• Rebecca Maria Quesada

• Nursing Care Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.