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KINGSLEY PLADE ADHC NPI 1285859249


NPI Information

NPI: 1285859249
Provider Name: KINGSLEY PLADE ADHC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 05D0993028

Address:
548 S KINGSLEY DR
LOS ANGELES, CA
ZIP 90020
Phone: (213) 383-3303
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KINGSLEY PLADE ADHC is an adult day care clinic center in Los Angeles, CA. KINGSLEY PLADE ADHC NPI is 1285859249. The provider is registered as an organization entity type.

The provider's business location address is:

548 S KINGSLEY DR
LOS ANGELES, CA
ZIP 90020-506
Phone: (213) 383-3303
Fax: (213) 384-1772

The provider's authorized official is Helen Chalabian .
The authorized official title is Administrator and has the following contact phone number (213) 383-3303.

The CLIA number assigned to this NPI record is 05D0993028 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ADU70264FMEDICAIDCALIFORNIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.