Provider Demographics
NPI:1760059364
Name:PARTNERSHIP ADULT HOME CARE LLC
Entity Type:Organization
Organization Name:PARTNERSHIP ADULT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:CHINWE
Authorized Official - Last Name:ANYIM
Authorized Official - Suffix:
Authorized Official - Credentials:MS N, RN
Authorized Official - Phone:424-456-4550
Mailing Address - Street 1:15424 HAWTHORNE BLVD, P.O BOX 603
Mailing Address - Street 2:SUITE 203C
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260
Mailing Address - Country:US
Mailing Address - Phone:424-456-4550
Mailing Address - Fax:424-456-4824
Practice Address - Street 1:15424 HAWTHORNE BLVD STE 203C
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-2153
Practice Address - Country:US
Practice Address - Phone:424-456-4550
Practice Address - Fax:424-456-4824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty