Healthcare Provider Details

I. General information

NPI: 1659281137
Provider Name (Legal Business Name): SANCTUARY AND SOIL: ADULT, FAMILY CARE AND HOUSING ORGANIZATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 W 85TH ST
INGLEWOOD CA
90305-1824
US

IV. Provider business mailing address

4607 DON ZAREMBO DR
LOS ANGELES CA
90008-4122
US

V. Phone/Fax

Practice location:
  • Phone: 424-655-8547
  • Fax: 424-702-4295
Mailing address:
  • Phone: 424-655-8547
  • Fax: 424-702-4295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROLINE LISA STONE-WINSTON
Title or Position: CEO/FOUNDER
Credential:
Phone: 424-655-8547