Healthcare Provider Details

I. General information

NPI: 1023905379
Provider Name (Legal Business Name): FATHERS AND MOTHERS WHO CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10975 S VERMONT AVE
LOS ANGELES CA
90044-3041
US

IV. Provider business mailing address

10975 S VERMONT AVE
LOS ANGELES CA
90044-3041
US

V. Phone/Fax

Practice location:
  • Phone: 323-247-7667
  • Fax: 323-328-1698
Mailing address:
  • Phone: 323-247-7667
  • Fax: 323-328-1698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LINDA KELLY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 323-247-7667