BROOM HOMESTEAD INC
NPI 1134926769
Case Manager/Care Coordinator in Los Angeles, CA

Active since March 01, 2025
3616 10TH AVE, LOS ANGELES, CA 90018(323) 643-4869(323) 643-4869 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2025, Mar 19, 2025, Mar 12, 2025 and 1 more (4 updates tracked since 2025).

About Broom Homestead Inc NPPES

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

BROOM HOMESTEAD INC (NPI 1134926769), doing business as Edrica's House Of Hope, is a healthcare organization registered as a case manager/care coordinator in Los Angeles, California and active in the NPI registry since March 2025. The organization lists Walter E Broom, Ceo/executive Director, as its authorized official.

NPPES Registry Identity

NPI1134926769
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameBROOM HOMESTEAD INC
Location Address3616 10TH AVELos Angeles, CA 90018-4113
Mailing Address3616 10th AveLos Angeles, CA 90018-4113 · (323) 643-4869 · Fax (323) 643-4869
Fax(323) 643-4869
Organization SubpartNo
Authorized OfficialWalter E BroomCeo/executive Director · (323) 643-4869
Enumeration DateMarch 1, 2025
Last NPPES UpdateApril 2, 20254 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
NPI 1134926769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3616 10TH AVE, Los Angeles, CA 90018

Other Names 1

Doing Business AsEdrica's House Of Hope

Other Identifiers 1

OtherB1305161051CA · Substance/addiction Counselor

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Counselor
3616 10TH AVE
LOS ANGELES, CA 90018

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 Broom Homestead Inc's NPI number?

The NPI number for Broom Homestead Inc is 1134926769. It was assigned to this organization in the NPPES registry on March 1, 2025. The provider is doing business as Edrica's House of Hope.

Where is Broom Homestead Inc located?

Broom Homestead Inc is located at 3616 10th Ave, Los Angeles, CA 90018. The listed phone number is (323) 643-4869.

What is Broom Homestead Inc's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Broom Homestead Inc was last updated on April 2, 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.