Organization · Type 2 NPI

Commercial & Housing Support Aid

Assisted Living Facility · Los Angeles, CA

NPI number 1184223935 Active

Practice location

120 - 122 East 24th Street
Los Angeles, CA 90011

Call (480) 823-2318 Map

Mailing address

4026 6th Ave
Los Angeles, CA 90008-2733

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1184223935
Entity type: Organization (Type 2)
Issued: Oct 22, 2020
Last updated: Nov 21, 2020
Status: Active

Other names

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Commercial & Housing Support Aid · former legal business name
Commercial & Housing Support Aid · former legal business name

Authorized official

Morgan Heflin
Administrator
(310) 770-1897

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184223935

Commercial & Housing Support Aid's National Provider Identifier is 1184223935, issued on Oct 22, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 21, 2020.