MEDICARE: PLD FAMILY HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1588597074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLD FAMILY HOME CARE

Provider Business Mailing Address
First Line	:	139 W ELLIS AVE
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90302-1248
Country	:	US
Telephone Number	:	310-678-1741
Fax Number	:

Provider Business Practice Location Address
First Line	:	139 W ELLIS AVE
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90302-1248
Country	:	US
Telephone Number	:	310-678-1741
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. PRECIOUS LAMOURA DENNIS
Credential	:
Telephone Number	:	310-678-1741

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “PLD FAMILY HOME CARE ” Practice Location

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