Healthcare Provider Details

I. General information

NPI: 1740447242
Provider Name (Legal Business Name): ARLINGTON CARE HOME, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4743 W 166TH ST
LAWNDALE CA
90260-2828
US

IV. Provider business mailing address

2209 ARLINGTON AVE
TORRANCE CA
90501-4439
US

V. Phone/Fax

Practice location:
  • Phone: 310-371-1962
  • Fax: 310-320-1924
Mailing address:
  • Phone: 310-212-6365
  • Fax: 310-320-1924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. PRITAM S MATHARU
Title or Position: PRESIDENT / CEO
Credential:
Phone: 310-212-6365