PIONEER HOME LLC NPI 1891311833

NPI Information

NPI: 1891311833
Provider Name: PIONEER HOME LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1204 W GARDENA BLVD STE B
GARDENA, CA
ZIP 90247
Phone: (424) 653-7426
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PIONEER HOME LLC is a psychiatric/mental health nurse practitioner in Gardena, CA. PIONEER HOME LLC NPI is 1891311833. The provider is registered as an organization entity type.

The provider's business location address is:

1204 W GARDENA BLVD STE B
GARDENA, CA
ZIP 90247-923
Phone: (424) 653-7426

The provider's authorized official is Ifeoma Nwufor .
The authorized official title is Administrator and has the following contact phone number (424) 653-7426.

The enumeration date for this NPI number is 6/24/2020 and was last updated on 10/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health				No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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