Active NPI
Above and Beyond Care Providers LLC
- Assisted Living Facility (Mental Illness)
- Los Angeles, CA
National Provider Identifier
1982386173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Legal business name
- ABOVE AND BEYOND CARE PROVIDERS LLC
- Doing business as
- Anew Dawn Adult Living
- Practice address
- 4340 Lockwood Ave
Los Angeles, CA 90029-2810 - Phone
- (323) 426-9123
- Fax
- (323) 922-2351
- NPI assigned
- Aug 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patria Maravilla Dufrenne, RN
- Title
- Ceo
- Phone
- (909) 210-0365
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | Primary |
Addresses
Primary practice location
4340 Lockwood Ave
Los Angeles, CA 90029-2810
Mailing address
4340 Lockwood Ave
Los Angeles, CA 90029-2810
Phone (323) 426-9123
Other names 1
- Anew Dawn Adult Living
National Provider Directory
National Provider DirectoryLocations
4340 Lockwood Ave
Los Angeles, CA 90029
Phone (323) 426-9123
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Assisted Living Facility
- San Pedro, CA
- NPI 1447840715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693353600000",
"number": "1982386173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 LOCKWOOD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900292810",
"telephone_number": "323-426-9123",
"fax_number": "323-922-2351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4340 LOCKWOOD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900292810",
"telephone_number": "323-426-9123",
"fax_number": "323-922-2351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABOVE AND BEYOND CARE PROVIDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A",
"authorized_official_last_name": "DUFRENNE",
"authorized_official_first_name": "PATRIA",
"authorized_official_middle_name": "MARAVILLA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-210-0365",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Anew Dawn Adult Living",
"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 Aug 30, 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.