Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broom Homestead Inc

Organization Case Manager/Care Coordinator · NPI 1134926769

Broom Homestead Inc is a Case Manager/Care Coordinator in Los Angeles, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3616 10th Ave
Los Angeles, CA 90018-4113
Phone: (323) 643-4869
Fax: (323) 643-4869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1134926769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Broom — Ceo/Executive Director · (323) 643-4869
Other names Edrica'S House Of Hope; Edrica'S House Of Hope
NPI enumeratedMarch 1, 2025
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing address3616 10th Ave, Los Angeles, CA 90018-4113

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