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

Croft Living Home, Inc

Organization Clinic/Center · NPI 1003249822

Croft Living Home, Inc is a Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
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

458 N Croft Ave
Los Angeles, CA 90048-2509
Phone: (323) 655-5060
Fax: (323) 651-1461
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 550002351 (CA)

Record details

NPI number1003249822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shady Borna — President · (323) 655-5060
NPI enumeratedAugust 15, 2013
Last updated in NPPESAugust 15, 2013
Mailing address458 N Croft Ave, Los Angeles, CA 90048-2509

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