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NPI 1043430358 · Intellectual Disabilities Intermediate Care Facility · Inglewood, CA
Provider details
- NPI number
- 1043430358
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Hortense Crawford, Administration(310) 419-0616
- License
- 960000779 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
931 E La Palma Dr
Inglewood, CA 90301-3780
Phone: (310) 419-0616
Fax: (310) 673-0753
Street-level locationGet directions
Mailing address
931 La Brea Dr E
Inglewood, CA 90301
Additional practice locations (1)
- 931 La Brea DrInglewood, CA 90301-3407Phone: (310) 419-0616Fax: (323) 758-3863
Registry dates
- Enumerated
- 2007-04-27
- Last updated
- 2024-06-13
- Certified
- 2024-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.