Healthcare Provider Details

I. General information

NPI: 1003722893
Provider Name (Legal Business Name): WELCOME HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5530 THORNBURN ST APT 102
LOS ANGELES CA
90045-2139
US

IV. Provider business mailing address

3500 W SLAUSON AVE # 22
LOS ANGELES CA
90043-2428
US

V. Phone/Fax

Practice location:
  • Phone: 310-590-6520
  • Fax:
Mailing address:
  • Phone: 310-590-6520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: EDWARD LEE AUSTIN JR.
Title or Position: MANAGING MEMBER
Credential:
Phone: 310-590-6520