Healthcare Provider Details

I. General information

NPI: 1124025119
Provider Name (Legal Business Name): ALWAYS STAY HOME NURSING SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11633 HAWTHORNE BLVD SUITE 220
HAWTHORNE CA
90250-2321
US

IV. Provider business mailing address

11633 HAWTHORNE BLVD SUITE 220
HAWTHORNE CA
90250-2321
US

V. Phone/Fax

Practice location:
  • Phone: 310-219-2857
  • Fax: 310-973-3606
Mailing address:
  • Phone: 310-219-2857
  • Fax: 310-973-3606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: SYLVIA KENNEDY
Title or Position: CEO / ADMINISTRATOR
Credential:
Phone: 310-213-2737