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

Los Angeles Wide Community Support Services LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1619856788

Los Angeles Wide Community Support Services LLC is a Developmentally Disabled Services Day Training Agency in Inglewood, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8611 Crenshaw Blvd Ste 203
Inglewood, CA 90305-2398
Phone: (310) 910-0076
Show map & directions

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

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Home Health Agency Taxonomy 251E00000X
Supports Brokerage Agency Taxonomy 251X00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1619856788
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLos Angeles Wide Community Support Services LLC
Authorized official Lalisa Rusk — Owner · (310) 483-9279
Other names L.A. Wide Css
NPI enumeratedSeptember 2, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address403 E 186th St, Carson, CA 90746-2119

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