CARSON HEALTHCARE SERVICES LLC (NPI# 1174992598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174992598 |
| Entity Type | Organization |
| Organization Name | CARSON HEALTHCARE SERVICES LLC |
| Practice Address |
17625 Central Ave Carson CA 90746-1661 |
| Practice Telephone | 3102288682 |
| Mailing Telephone | 3102288682 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | MR. CHINWEIKE OGBODO (PRESIDENT) |
| Authorized Official Telephone | 3102288682 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | CA | Agencies |
| Street Address |
17625 CENTRAL AVE |
| City | CARSON |
| State | CA |
| Zip Code | 90746-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497139349 | Chinweike Ogbodo | Nurse Practitioner | 17625 Central Ave, Carson, CA 90746-1661 | 2015-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172837 | Darren Nakano Chiropractic, Professional Corporation | Chiropractor | 460 East Carson Plaza Drive, Suite 116, Carson, CA 90746 | 2019-09-05 |
| 1205370079 | Natalie Bland | Nurse Practitioner | 454 E. Carson Plaza Drive Suite 211, Carson, CA 90746 | 2016-12-13 |
| 1891146767 | Francis O Okpan | Nurse Practitioner | 17546 Buttonwood Ln, Carson, CA 90746 | 2016-06-22 |
| 1689049371 | Fresenius Medical Care Long Beach, LLC | Clinic/Center | 20710 Leapwood Ave Ste E, Carson, CA 90746 | 2015-12-07 |
| 1447649108 | Brandi Glenn | Occupational Therapist | 17811 Hazelwood Court, Carson, CA 90746 | 2015-01-20 |
| 1700226263 | Allen Berger | Counselor | 460 Est. Carson Plaza Dr. #119, Carson, CA 90746 | 2013-06-28 |
| 1902147036 | Basen Inc | Counselor | 460 Carson Plaza Drive, Ste 106, Carson, CA 90746 | 2013-03-14 |
| 1811238298 | Basen Inc | Counselor | 460 E Carsin Plaza Dr, #106, Carson, CA 90746 | 2013-03-08 |
| 1871858084 | Joseph H. Rodd M.d. Inc | Psychiatry & Neurology | 20710 S. Leapwood Ave., Suite B, Carson, CA 90746 | 2012-07-13 |
| 1467718601 | Laquesha Shonte Robinson | Counselor | 460 E. Carson Plaza Drive, Suite 200, Carson, CA 90746 | 2012-04-02 |
| Find all providers in zip 90746 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396372 | Rooted Rehabilitation LLC | Home Health | 849 E Victoria St Unit 609, Carson, CA 90746-1558 | 2020-08-16 |
| 1174152565 | Good Shepherd Senior Services LLC | Home Health | 20535 Campaign Dr Apt 30c, Carson, CA 90746-3425 | 2020-04-07 |
| 1679840771 | Hebrews Home Healthcare Inc | Home Health | 21407 Martin Street, Carson, CA 90745-1726 | 2011-11-18 |
| 1275863086 | The Samaritans Home Health Care | Home Health | 316 W Carson St, Suite 102, Carson, CA 90745-2649 | 2009-12-30 |
| 1942476031 | Grapevine Homecare Inc | Home Health | 1007 E Dominguez St Ste P, Carson, CA 90746-7244 | 2008-05-08 |
| 1063628501 | Vantage Home Health Care Services, Inc | Home Health | 20620s Leapwood Avenue, Suite N, Carson, CA 90746 | 2007-05-14 |
| 1528287984 | Carepointe Home Health Services Inc | Home Health | 728 Loyola Ave, #336, Carson, CA 90746-3902 | 2007-04-24 |
| 1033241773 | The Home Care Group, Inc | Home Health | 20620 Leapwood Ave Ste L, Carson, CA 90746 | 2007-03-09 |
| 1346388816 | Supreme Visiting Nurses, Inc. | Home Health | 550 E. Carson Plaza Drive, Suite 104, Carson, CA 90746-7660 | 2007-02-04 |
| 1861503161 | Charity Home Health Services | Home Health | 500 E Carson Plaza Dr, #228, Carson, CA 90746-3225 | 2006-08-31 |
| Find all providers in CARSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.