COUNTRY CLUB NORTH
NPI 1124252085
Assisted Living Facility in Los Angeles, CA

Q: What is T Michael, LLC's NPI number?

The NPI number for T Michael, LLC is 1124252085. It was assigned to this organization in the NPPES registry on May 7, 2009. The provider is doing business as Country Club North.

Q: What is T Michael, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for T Michael, LLC was last updated on May 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 07, 2009

654 LILLIAN WAY, LOS ANGELES, CA 90004(323) 876-6370(323) 957-9792 Get Directions Write a Review

NPPES record last updated: May 7, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Country Club North NPPES

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

COUNTRY CLUB NORTH (NPI 1124252085) is a healthcare organization registered as an assisted living facility in Los Angeles, California and active in the NPI registry since May 2009. The organization lists Timothy M Coury, President, as its authorized official.

NPPES Registry Identity

NPI1124252085

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameT MICHAEL, LLC

Location Address654 LILLIAN WAYLos Angeles, CA 90004-1108

Mailing Address7316 Woodrow Wilson DrLos Angeles, CA 90046-1321 · (323) 876-6370 · Fax (323) 957-9792

Phone(323) 876-6370

Fax(323) 957-9792

Organization SubpartNo

Authorized OfficialTimothy M CouryPresident · (323) 876-6370

Enumeration DateMay 7, 2009

✔ NPI 1124252085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in CA · 197602852

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

654 LILLIAN WAY, Los Angeles, CA 90004

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Other Names 1

Doing Business AsCountry Club North

Other Providers at the Same Location NPPES

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

BORIS MANAGEMENT CORP

Assisted Living Facility

654 LILLIAN WAY
LOS ANGELES, CA 90004

Los Angeles County (323) 856-0161

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 T Michael, LLC's NPI number?

The NPI number for T Michael, LLC is 1124252085. It was assigned to this organization in the NPPES registry on May 7, 2009. The provider is doing business as Country Club North.

Where is T Michael, LLC located?

T Michael, LLC is located at 654 Lillian Way, Los Angeles, CA 90004. The listed phone number is (323) 876-6370.

What is T Michael, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for T Michael, LLC was last updated on May 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.