Organization · NPI-2

Core Community Supports LLC

Respite Care · Los Angeles, CA

NPI number1083576573

StatusActive

Last updated in NPPESDec 2, 2025

Details

NPI: 1083576573
Entity type: Organization (NPI-2)
Legal business name: Core Community Supports LLC
Organization subpart: No
Enumeration date: Dec 2, 2025
Certification date: Dec 2, 2025
Last updated: Dec 2, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
385H00000X	Respite Care	–	–	Yes
251X00000X	Supports Brokerage	–	–
261QR0800X	Clinic/Center, Recovery Care	–	–
104100000X	Social Worker	–	–
177F00000X	Lodging	–	–
251B00000X	Case Management	–	–
251C00000X	Day Training, Developmentally Disabled Services	–	–

Practice location

5005 S La Brea Ave
Los Angeles, CA 90056-1803

Phone 323-204-0200 · Fax 323-204-0220

Mailing address

4500 Park Granada Ste 202
Calabasas, CA 91302-1666

Phone 323-204-0200 · Fax 323-204-0220

Authorized official

Joshua James Kleinbergs
Program Director
3232040200

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