Healthcare Provider Details

I. General information

NPI: 1730066598
Provider Name (Legal Business Name): A PLACE 2 GO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8939 S SEPULVEDA BLVD STE 102
LOS ANGELES CA
90045-3605
US

IV. Provider business mailing address

8939 S SEPULVEDA BLVD STE 102
LOS ANGELES CA
90045-3605
US

V. Phone/Fax

Practice location:
  • Phone: 323-527-7633
  • Fax:
Mailing address:
  • Phone: 323-527-7633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: JAHMALIE SMITH
Title or Position: OWNER
Credential:
Phone: 323-527-7633