OrganizationActive
Community Residential Care Program
NPI 1871691352 · General Acute Care Hospital · Los Angeles, CA
Community Residential Care Program is a General Acute Care Hospital organization in Los Angeles, CA (NPI 1871691352).
Provider details
- NPI number
- 1871691352
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Denise Polk, Registered Nurse(310) 478-3711
- License
- 483652 (CA)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(90/100 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
1 documented practice location
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
1416 W 103rd St
Los Angeles, CA 90047-4510
Phone: (323) 777-0269
Street-level locationGet directions
Mailing address
1416 W 103rd St
Los Angeles, CA 90047-4510
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Community Residential Care Program's NPI number?
- Community Residential Care Program's National Provider Identifier (NPI) is 1871691352, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Residential Care Program?
- Community Residential Care Program is classified in the NPPES registry as General Acute Care Hospital (Hospitals).
- Where is Community Residential Care Program located?
- Community Residential Care Program's practice location on file with NPPES is 1416 W 103rd St, Los Angeles, CA 90047-4510.
- What is Community Residential Care Program's phone number?
- The practice phone number listed in the NPPES registry for Community Residential Care Program is (323) 777-0269.
- Who is the authorized official for Community Residential Care Program?
- The authorized official listed on Community Residential Care Program's NPPES record is Denise Polk, Registered Nurse. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Residential Care Program's NPI active?
- Yes — Community Residential Care Program's NPI (1871691352) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.