Provider Demographics
NPI:1053663260
Name:CURTIS JENKINS PROGRAMS INC.
Entity Type:Organization
Organization Name:CURTIS JENKINS PROGRAMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-629-5929
Mailing Address - Street 1:6709 LA TIJERA BLVD
Mailing Address - Street 2:SUITE 804
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-2017
Mailing Address - Country:US
Mailing Address - Phone:310-629-5929
Mailing Address - Fax:310-337-4731
Practice Address - Street 1:6709 LA TIJERA BLVD
Practice Address - Street 2:SUITE 804
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-2017
Practice Address - Country:US
Practice Address - Phone:310-629-5929
Practice Address - Fax:310-337-4731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198016590251B00000X, 251C00000X, 251X00000X
CA198016591252Y00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care