Community Residential Care Program in Los Angeles - General Acute Care Hospital
Community Residential Care Program - NPI 1871691352
Community Residential Care Program is a General Acute Care Hospital in Los Angeles, California. Community Residential Care Program practices all healthcare services and medical treatments related to General Acute Care Hospital. The NPI Number for Community Residential Care Program is 1871691352. The last update date is 2020-08-22.
Community Residential Care Program's current location address is 1416 W 103rd St, Los Angeles, California. You can contact this provider via phone number 3237770269. The mailing address for Community Residential Care Program is 1416 W 103rd St, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Residential Care Program |
|---|---|
| Address | 1416 W 103rd St, Los Angeles, California |
| Phone Number | 3237770269 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REGISTERED |
|---|---|
| Authorized Official Name | Polk Marie Denise |
| Telephone Number | 3104783711 |
NPI Number Detail
| NPI Number | 1871691352 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1416 W 103rd St |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900474510 |
| Phone Number | 3237770269 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Acute Care Hospital |
|---|---|
| Taxonomy | 282N00000X |
| Licence No | 483652 |
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Definition: An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patien |
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What is the unique identifier code issued to Community Residential Care Program by the Centers for Medicare & Medicaid Services?
The Community Residential Care Program has been assigned the NPI (National Provider Identifier) 1871691352. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Community Residential Care Program's physical address?
The Community Residential Care Program is physically located at 1416 W 103Rd St, in the city of Los Angeles, CA, with the postal code 900474510.
What is the Community Residential Care Program's specialty and taxonomy code?
The Community Residential Care Program's specialty is General Acute Care Hospital, and the corresponding taxonomy code is 282N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871691352 to Community Residential Care Program?
The Centers for Medicare & Medicaid Services assigned the 1871691352 to Community Residential Care Program on 2006-09-20.
When was the information related to Community Residential Care Program most recently updated or refreshed?
The details pertaining to the Community Residential Care Program, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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