Healthcare Provider Details

I. General information

NPI: 1063334647
Provider Name (Legal Business Name): R & P SUPPORTIVE HOUSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6525 W SUNSET BLVD # 803
LOS ANGELES CA
90028-7212
US

IV. Provider business mailing address

2699 1/2 N BEACHWOOD DR # 575
LOS ANGELES CA
90068-2339
US

V. Phone/Fax

Practice location:
  • Phone: 310-500-9166
  • Fax:
Mailing address:
  • Phone: 310-500-9166
  • 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: MYLES ROGG
Title or Position: OWNER
Credential:
Phone: 310-500-9166