Organization Active NPI

Assisted Home Care, Inc.

Doing business as Assisted Home Hospice

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1972991859
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ASSISTED HOME CARE, INC.
Doing business as
Assisted Home Hospice
Practice address
3731 Wilshire Blvd
Suite 516B
Los Angeles, CA 90010-2830
Phone
(213) 355-3511
Fax
(213) 355-3516
NPI assigned
Dec 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Michael Donley
Title
Coo
Phone
(805) 371-9988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3731 Wilshire Blvd
Suite 516B
Los Angeles, CA 90010-2830

Mailing address

72 Moody Court
Suite 100
Thousand Oaks, CA 91360-6067
Phone (805) 371-9988

Other identifiers 1

IdentifierTypeStateIssuer
HPCO1634GMedicaidCA

Other names 1

  • Assisted Home Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Assisted Home Care Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

3731 Wilshire Blvd
Ste 516B
Los Angeles, CA 90010
Phone (213) 355-3511

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1972991859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MOODY COURT",
            "address_2": "SUITE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606067",
            "telephone_number": "805-371-9988",
            "fax_number": "805-371-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 WILSHIRE BLVD",
            "address_2": "SUITE 516B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102830",
            "telephone_number": "213-355-3511",
            "fax_number": "213-355-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "DONLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "805-371-9988"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPCO1634G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Home Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Assisted Home Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.