COTTON CANDY & COMPANY LLC NPI 1629873245

NPI Information

  • NPI: 1629873245
  • Provider Name: COTTON CANDY & COMPANY LLC
  • Classification: Nursing Home Administrator - 376G00000X
  • Entity Type: Organization
  • Address: 9100 WILSHIRE BLVD
    BEVERLY HILLS, CA
    ZIP 90212
  • Phone: (470) 532-0994

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NPI Details

COTTON CANDY & COMPANY LLC is a nursing home administrator in Beverly Hills, CA. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. COTTON CANDY & COMPANY LLC NPI is 1629873245. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9100 WILSHIRE BLVD
BEVERLY HILLS, CA
ZIP 90212-415
Phone: (470) 532-0994

The provider's authorized official is Chatavia A Callaway .
The authorized official title is Owner and has the following contact phone number (818) 824-8770.

The enumeration date for this NPI number is 2/18/2025 and was last updated on 11/30/2025.

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
1376G00000XNursing Home AdministratorYes

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: 11/21/2025

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