Healthcare Provider Details

I. General information

NPI: 1669329025
Provider Name (Legal Business Name): FAMILY HANDS FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2026
Last Update Date: 03/14/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

879 W 190TH ST STE 400
GARDENA CA
90248-4223
US

IV. Provider business mailing address

10016 LA SALLE AVE
LOS ANGELES CA
90047-4242
US

V. Phone/Fax

Practice location:
  • Phone: 310-217-4057
  • Fax: 949-386-2058
Mailing address:
  • Phone: 310-217-4057
  • Fax: 949-386-2058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: TINA SCRUGGS-TATE
Title or Position: PRES
Credential:
Phone: 323-853-9395