CYSCODM GROUP, LLC (NPI# 1740843366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740843366 |
| Entity Type | Organization |
| Organization Name | CYSCODM GROUP, LLC |
| Practice Address |
400 Continental Blvd Ste 640 El Segundo CA 90245-5076 |
| Mailing Address |
10926 Casimir Ave Inglewood CA 90303-2512 |
| Practice Telephone | 7472382082 |
| Mailing Telephone | 3237429999 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | MRS. MARGARET N OMEAKU (MANAGER) |
| Authorized Official Telephone | 7472382082 |
| Authorized Official Credential | CSCM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Cysco Divine Homecare | Doing Business As Name - Organization |
| Street Address |
400 CONTINENTAL BLVD STE 640 |
| City | EL SEGUNDO |
| State | CA |
| Zip Code | 90245-5076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058976 | Britt'nee Cornelius | Massage Therapist | 222 North PCh, Suite 2000, El Segundo, CA 90245 | 2020-09-18 |
| 1750913778 | Laurie Ann Scoppetto | Dietitian, Registered | 482 N Aviation Blvd, El Segundo, CA 90245 | 2020-02-07 |
| 1972135283 | A Dabrowska Dds, Inc | Dentist | 390 N. Pacific Coast Hwy #1050, El Segundo, CA 90245 | 2020-02-05 |
| 1578023057 | Miles Bertumen | Pharmacist | 283 N Aviation Blvd, Building 210, El Segundo, CA 90245 | 2019-03-21 |
| 1831673201 | Kriss L. Killam | Marriage & Family Therapist | 302 W. Grand Ave., Suite 9, El Segundo, CA 90245 | 2018-09-20 |
| 1811487911 | Bright Light Recovery | Substance Abuse Rehabilitation Facility | 218 Concord St, Suite C, El Segundo, CA 90245 | 2018-05-14 |
| 1265950448 | Sarah Yuriko Mizuki | Physician Assistant | 390 N PCh, Suite 1000, El Segundo, CA 90245 | 2017-09-07 |
| 1326586462 | Jlp Interpreting Services | Interpreter | 963 Virginia St #5, El Segundo, CA 90245 | 2017-02-09 |
| 1619351707 | El Segundo Dermatology, Inc. | Specialist | 713 N Douglas St., El Segundo, CA 90245 | 2015-07-17 |
| 1083956635 | 24hr Homecare, LLC | Home Health | 200 N. Pacific Coast Highway, Suite 300, El Segundo, CA 90245 | 2013-03-21 |
| Find all providers in zip 90245 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376797035 | 24hr Homecare | In Home Supportive Care | 300 N Sepulveda Blvd, Suite 1065, El Segundo, CA 90245-4472 | 2008-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619434 | Prestige Home Care Angels Inc | In Home Supportive Care | 4531 Bedilion St, Los Angeles, CA 90032-2001 | 2020-11-03 |
| 1316547458 | Seniors Who Help Seniors Inc. | In Home Supportive Care | 577 E Elder St Ste U, Fallbrook, CA 92028-3079 | 2020-10-28 |
| 1386244465 | Silver Screen Senior Care LLC | In Home Supportive Care | 1333 S Beverly Glen Blvd Apt 906, Los Angeles, CA 90024-5277 | 2020-10-28 |
| 1861091373 | C'e Bella Home Care LLC | In Home Supportive Care | 82784 Longfellow Ct, Indio, CA 92201-9326 | 2020-10-26 |
| 1932708591 | At Home Care Companion Services Inc | In Home Supportive Care | 2814 Buttercup Ct, Antioch, CA 94531-6306 | 2020-10-23 |
| 1437758000 | My Little Helpers LLC | In Home Supportive Care | 16959 Bernardo Center Dr Ste 104, San Diego, CA 92128-2554 | 2020-10-23 |
| 1144829912 | A Shade of Love LLC | In Home Supportive Care | 9462 Oak St Apt 8, Bellflower, CA 90706-5264 | 2020-10-22 |
| 1073112744 | Carefree Home Care | In Home Supportive Care | 850 E Chapman Ave Ste A, Orange, CA 92866-1649 | 2020-10-22 |
| 1790383172 | Beverley's Home Healthcare LLC | In Home Supportive Care | 2450 E Del Mar Blvd Unit 17, Pasadena, CA 91107-4809 | 2020-10-16 |
| 1467050955 | Health Redesigned | In Home Supportive Care | 12139 Mount Vernon Ave Ste 203, Grand Terrace, CA 92313-5547 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | EL SEGUNDO |
| Zip Code | 90245 |
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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.