Healthcare Provider Details

I. General information

NPI: 1669300364
Provider Name (Legal Business Name): JOY CARE HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16919 S. AINSWORTH STREET
GARDENA CA
90247
US

IV. Provider business mailing address

16919 S. AINSWORTH STREET
GARDENA CA
90247
US

V. Phone/Fax

Practice location:
  • Phone: 818-793-4263
  • Fax: 909-614-7255
Mailing address:
  • Phone: 818-793-4263
  • Fax: 909-614-7255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: KADIGUIA OTIK LINAYAO
Title or Position: CEO
Credential:
Phone: 818-793-4263