CARSON HEALTHCARE SERVICES LLC
NPI 1174992598
Home Health in Carson, CA

Active since September 15, 2015CLIA 05D2150334 · Waiver
17625 CENTRAL AVE, CARSON, CA 90746(310) 228-8682 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carson Healthcare Services Llc NPPES

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

CARSON HEALTHCARE SERVICES LLC (NPI 1174992598) is a healthcare organization registered as a home health in Carson, California and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Chinweike Ogbodo, President, as its authorized official.

NPPES Registry Identity

NPI1174992598
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCARSON HEALTHCARE SERVICES LLC
Location Address17625 CENTRAL AVECarson, CA 90746-1661
Mailing Address17625 Central AveCarson, CA 90746-1661 · (310) 228-8682
Organization SubpartNo
Authorized OfficialChinweike OgbodoPresident · (310) 228-8682
Enumeration DateSeptember 15, 2015
NPI 1174992598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedHome InfusionTaxonomy 251F00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
17625 CENTRAL AVE, Carson, CA 90746

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2150334

Carson Healthcare Services LLC · Carson, CA
Active · expires Jun 21, 2028
CLIA Number05D2150334
Laboratory TypeHome Health Agency
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorJanis Owen, MD
Laboratory Phone(310) 228-8682
Laboratory LocationCarson Healthcare Services LLC17625 South Central Ave Ste H, Carson, CA 90746
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Carson Healthcare Services, LLC (CMS certification number 053180), from CMS Care Compare.

Carson Healthcare Services, LLC

Home health agency · Carson, CA
OwnershipProprietary
CMS Certification Number053180
Medicare-Certified SinceAugust 14, 2018
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
Cases too small to report
Potentially preventable hospital readmissions after discharge
Cases too small to report
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
17625 CENTRAL AVE
CARSON, CA 90746

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 Carson Healthcare Services LLC's NPI number?

The NPI number for Carson Healthcare Services LLC is 1174992598. It was assigned to this organization in the NPPES registry on September 15, 2015.

Where is Carson Healthcare Services LLC located?

Carson Healthcare Services LLC is located at 17625 Central Ave, Carson, CA 90746. The listed phone number is (310) 228-8682.

What is Carson Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Carson Healthcare Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2150334) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Carson Healthcare Services LLC a Medicare-certified home health agency?

Yes. Carson Healthcare Services, LLC is a Medicare-certified home health agency, certified since August 14, 2018.

When was this NPI record last updated?

The NPPES record for Carson Healthcare Services LLC was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.