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CREATIVE LIFESTYLES HOME CARE INC NPI 1821655507


NPI Information

NPI: 1821655507
Provider Name: CREATIVE LIFESTYLES HOME CARE INC

Doing Business As: MONTIANO RESIDENTIAL CARE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1022 W FLORENCE AVE
LOS ANGELES, CA
ZIP 90044
Phone: (323) 758-9539
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CREATIVE LIFESTYLES HOME CARE INC is an assisted living facility in Los Angeles, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CREATIVE LIFESTYLES HOME CARE INC NPI is 1821655507. The provider is registered as an organization entity type.
The provider Is Doing Business As Montiano Residential Care.

The provider's business location address is:

1022 W FLORENCE AVE
LOS ANGELES, CA
ZIP 90044-442
Phone: (323) 758-9539

The provider's authorized official is Clarel Martine .
The authorized official title is Ceo and has the following contact phone number (323) 758-9539.

The enumeration date for this NPI number is 5/28/2019 and was last updated on 6/26/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo

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

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