CROFT LIVING HOME, INC.
NPI 1003249822
Clinic/Center in Los Angeles, CA

Active since August 15, 2013
458 N CROFT AVE, LOS ANGELES, CA 90048(323) 655-5060(323) 651-1461 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Croft Living Home, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROFT LIVING HOME, INC. (NPI 1003249822) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since August 2013. The organization lists Shady Borna, President, as its authorized official.

NPPES Registry Identity

NPI1003249822
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCROFT LIVING HOME, INC.
Location Address458 N CROFT AVELos Angeles, CA 90048-2509
Mailing Address458 N Croft AveLos Angeles, CA 90048-2509 · (323) 655-5060 · Fax (323) 651-1461
Fax(323) 651-1461
Organization SubpartNo
Authorized OfficialShady BornaPresident · (323) 655-5060
Enumeration DateAugust 15, 2013
NPI 1003249822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in CA · 550002351
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
458 N CROFT AVE, Los Angeles, CA 90048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Croft Living Home, Inc.'s NPI number?

The NPI number for Croft Living Home, Inc. is 1003249822. It was assigned to this organization in the NPPES registry on August 15, 2013.

Where is Croft Living Home, Inc. located?

Croft Living Home, Inc. is located at 458 N Croft Ave, Los Angeles, CA 90048. The listed phone number is (323) 655-5060.

What is Croft Living Home, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Croft Living Home, Inc. was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.