Healthcare Provider Details

I. General information

NPI: 1124849732
Provider Name (Legal Business Name): AIPF HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5624 PLAZA CT
PALMDALE CA
93552
US

IV. Provider business mailing address

5624 PLAZA CT
PALMDALE CA
93552-4692
US

V. Phone/Fax

Practice location:
  • Phone: 661-977-8464
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JORDAN DEBEAR
Title or Position: CEO
Credential:
Phone: 818-943-0196