OrganizationActive
Immortelle Inc
NPI 1922767250 · Home Health Agency · Los Angeles, CA
Immortelle Inc is a Home Health Agency organization in Los Angeles, CA (NPI 1922767250).
Provider details
- NPI number
- 1922767250
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jessica Jacobson, Owner/President(424) 355-9023
Specialties & taxonomies
Agencies
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
300 S Doheny Dr Ste 510
Los Angeles, CA 90048-3704
Phone: (424) 355-9023
Fax: (424) 389-7037
Street-level locationGet directions
Mailing address
640 S San Vicente Blvd Ste 264
Los Angeles, CA 90048-4884
Other names (DBA / former)
- Doing business as
- Immortelle Med
Registry dates
- Enumerated
- 2021-12-14
- Last updated
- 2026-04-18
- Certified
- 2026-04-18
Frequently asked questions
- What is Immortelle Inc's NPI number?
- Immortelle Inc's National Provider Identifier (NPI) is 1922767250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Immortelle Inc?
- Immortelle Inc is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Immortelle Inc located?
- Immortelle Inc's practice location on file with NPPES is 300 S Doheny Dr Ste 510, Los Angeles, CA 90048-3704.
- What is Immortelle Inc's phone number?
- The practice phone number listed in the NPPES registry for Immortelle Inc is (424) 355-9023.
- Who is the authorized official for Immortelle Inc?
- The authorized official listed on Immortelle Inc's NPPES record is Jessica Jacobson, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Immortelle Inc's NPI active?
- Yes — Immortelle Inc's NPI (1922767250) is active in the NPPES registry as of the last update on 2026-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.