126Th Street Homes, Inc. - Loop Home I in Gardena - Intermediate Care Facility, Intellectual Disabilities
126Th Street Homes, Inc. - Loop Home I - NPI 1013125228
126Th Street Homes, Inc. - Loop Home I is a Intermediate Care Facility, Intellectual Disabilities in Gardena, California. 126Th Street Homes, Inc. - Loop Home I practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for 126Th Street Homes, Inc. - Loop Home I is 1013125228. The last update date is 2020-08-22.
126Th Street Homes, Inc. - Loop Home I's current location address is 15920 S Dalton Ave, Gardena, California. You can contact this provider via phone number 3108080883 and fax number 3108080883. The mailing address for 126Th Street Homes, Inc. - Loop Home I is 15920 S Dalton Ave, Gardena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 126Th Street Homes, Inc. - Loop Home I |
|---|---|
| Address | 15920 S Dalton Ave, Gardena, California |
| Phone Number | 3108080883 |
| Fax Number | 3108080883 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSEE |
|---|---|
| Authorized Official Name | Dojcinovic Tony |
| Telephone Number | 3108080883 |
NPI Number Detail
| NPI Number | 1013125228 |
|---|---|
| Provider Enumeration Date | 2007-05-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 15920 S Dalton Ave |
|---|---|
| City | Gardena |
| State | California (CA) |
| Post Code | 902473908 |
| Phone Number | 3108080883 |
| Fax Number | 3108080883 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to 126Th Street Homes, Inc. - Loop Home I by the Centers for Medicare & Medicaid Services?
The 126Th Street Homes, Inc. - Loop Home I has been issued the NPI (National Provider Identifier) 1013125228, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where 126Th Street Homes, Inc. - Loop Home I is geographically located?
The 126Th Street Homes, Inc. - Loop Home I is physically situated at the following location: 15920 S Dalton Ave, Gardena, CA, 902473908.
What is 126Th Street Homes, Inc. - Loop Home I's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for 126Th Street Homes, Inc. - Loop Home I is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013125228 to 126Th Street Homes, Inc. - Loop Home I?
The Centers for Medicare & Medicaid Services originally issued the 1013125228 to 126Th Street Homes, Inc. - Loop Home I on 2007-05-19.
When was the information regarding 126Th Street Homes, Inc. - Loop Home I, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to 126Th Street Homes, Inc. - Loop Home I, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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