Healthcare Provider Details

I. General information

NPI: 1245157593
Provider Name (Legal Business Name): DEMING CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13247 DEMING AVE
DOWNEY CA
90242-5255
US

IV. Provider business mailing address

13247 DEMING AVE
DOWNEY CA
90242-5255
US

V. Phone/Fax

Practice location:
  • Phone: 818-915-4256
  • Fax:
Mailing address:
  • Phone: 818-915-4256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: KENT LOUIS CANLAS CRUZ
Title or Position: OWNER
Credential: BSN, RN
Phone: 818-915-4256