=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619829355
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CRENSHAW ARF LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2026
-----------------------------------------------------
Last Update Date | 02/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5140 CRENSHAW BLVD
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90043-1800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-544-5170
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5967 W 3RD ST STE 360
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90036-2890
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-217-7877
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LLC MEMBER
-----------------------------------------------------
Name | SHLOMO ARON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 323-217-7877
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 311ZA0620X
-----------------------------------------------------
Taxonomy Name | Adult Care Home Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------