Healthcare Provider Details

I. General information

NPI: 1114859154
Provider Name (Legal Business Name): NORRIISE HOXEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1609 W 163RD ST
COMPTON CA
90220-4305
US

IV. Provider business mailing address

1609 W 163RD ST
COMPTON CA
90220-4305
US

V. Phone/Fax

Practice location:
  • Phone: 310-972-8264
  • Fax:
Mailing address:
  • Phone: 310-972-8264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number198320594
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: