126th Street Homes, Inc - Loop Home I
126th Street Homes, Inc - Loop Home I is an Intellectual Disabilities Intermediate Care Facility in Hawthorne, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4180 W 126th StHawthorne, CA 90250-4547
Phone: (310) 676-7634
Fax: (310) 808-0883
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X (CA) |
|---|
Record details
| NPI number | 1013125228 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tony Dojcinovic — Licensee · (310) 808-0883 |
| NPI enumerated | May 19, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 15920 S Dalton Ave, Gardena, CA 90247-3908 |
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