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QUINCY MANOR LLC
NPI 1003600800
Nursing Facility/Intermediate Care Facility in Compton, CA

Active since April 07, 2025
115 N CHESTER AVE, COMPTON, CA 90221(313) 106-3599 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Quincy Manor Llc NPPES

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

QUINCY MANOR LLC (NPI 1003600800) is a healthcare organization registered as a nursing facility/intermediate care facility in Compton, California and active in the NPI registry since April 2025. The organization lists Xavier Costolino Hogan, Owner, as its authorized official.

NPPES Registry Identity

NPI1003600800
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameQUINCY MANOR LLC
Location Address115 N CHESTER AVECompton, CA 90221-2701
Mailing Address115 N Chester AveCompton, CA 90221-2701 · (313) 106-3599
Phone(313) 106-3599
Organization SubpartNo
Authorized OfficialXavier Costolino HoganOwner · (562) 450-7211
Enumeration DateApril 7, 2025
NPPES CertifiedApril 7, 2025
✔ NPI 1003600800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
115 N CHESTER AVE, Compton, CA 90221
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

XAVIER COSTOLINO HOGAN SR.
Nursing Home Administrator
115 N CHESTER AVE
COMPTON, CA 90221
Los Angeles County (313) 106-3599

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 Quincy Manor LLC's NPI number?

The NPI number for Quincy Manor LLC is 1003600800. It was assigned to this organization in the NPPES registry on April 7, 2025.

Where is Quincy Manor LLC located?

Quincy Manor LLC is located at 115 N Chester Ave, Compton, CA 90221. The listed phone number is (313) 106-3599.

What is Quincy Manor LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Quincy Manor LLC was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.