Active NPI
Pate & Ingam Home 1
- Intellectual Disabilities Intermediate Care Facility
- Inglewood, CA
National Provider Identifier
1982812194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- PATE & INGAM HOME 1
- Practice address
- 9613 S 11TH Ave
Inglewood, CA 90305-3112 - Phone
- (310) 330-0097
- Fax
- (323) 756-1788
- NPI assigned
- May 19, 2007
- 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
- Wesley Pate
- Title
- Licensee
- Phone
- (310) 330-0097
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | CA | Primary |
Addresses
Primary practice location
9613 S 11TH Ave
Inglewood, CA 90305-3112
Mailing address
17433 Bauchard CT
Carson, CA 90746-1609
Phone (310) 330-0097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G260
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PATE & INGRAM HOME I
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jun 30, 1999
- Last certification
- Jan 22, 2026
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 9613 S 11TH Avenue
Inglewood, CA 90305
National Provider Directory
National Provider Directory- Tax ID family
- Pate Ingam Home 1
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Hawthorne, CA
- NPI 1700094927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982812194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17433 BAUCHARD CT",
"city": "CARSON",
"state": "CA",
"postal_code": "907461609",
"telephone_number": "310-330-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9613 S 11TH AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903053112",
"telephone_number": "310-330-0097",
"fax_number": "323-756-1788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATE & INGAM HOME 1",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PATE",
"authorized_official_first_name": "WESLEY",
"authorized_official_title_or_position": "LICENSEE",
"authorized_official_telephone_number": "310-330-0097"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2020; 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.