Organization · NPI-2

Family Hands Adult Residential Care, LLC

Intermediate Care Facility, Intellectual Disabilities · Los Angeles, CA

NPI number1528569779
StatusActive
Last updated in NPPESJun 16, 2018

Details

NPI
1528569779
Entity type
Organization (NPI-2)
Legal business name
Family Hands Adult Residential Care, LLC
Organization subpart
No
Enumeration date
Feb 23, 2018
Last updated
Jun 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities198601610CAYes
251C00000X Day Training, Developmentally Disabled Services198601610CA
251C00000X Day Training, Developmentally Disabled Services198602224CA
251J00000X Nursing Care198601610CA
251J00000X Nursing Care198602224CA
251S00000X Community/Behavioral Health198601610CA
310400000X Assisted Living Facility198602224CA
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances198601610CA
177F00000X Lodging198602224CA
177F00000X Lodging198601610CA
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances198602224CA
315P00000X Intermediate Care Facility, Intellectual Disabilities198602224CA

Other names

  • Family Hands Adult Care Facility II (Doing Business As)
  • Family Hands Adult Care Facility (Doing Business As)

Practice location

10016 La Salle Ave
Los Angeles, CA 90047-4242

Phone 323-754-2151 · Fax 323-754-2151

Mailing address

10016 La Salle Ave
Los Angeles, CA 90047-4242

Phone 323-533-2396 · Fax 323-571-9769

Other practice locations

1827 W 74th Street
Los Angeles, CA 90047-2113

Phone 323-533-2396 · Fax 323-571-9769

Authorized official

Tina Evette Scruggs-Tate
Administrator
3235332396

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