ELM PARK
NPI 1215076062
Intermediate Care Facility, Intellectual Disabilities in Lynwood, CA

Q: What is Elm Park, Inc's NPI number?

The NPI number for Elm Park, Inc is 1215076062. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Elm Park.

Q: What is Elm Park, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Q: When was this NPI record last updated?

The NPPES record for Elm Park, Inc was last updated on September 11, 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.

Active since February 06, 2007

4300 LOS FLORES BLVD, LYNWOOD, CA 90262(310) 638-6691 Get Directions Write a Review

NPPES record last updated: September 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elm Park NPPES

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

ELM PARK (NPI 1215076062) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Lynwood, California and active in the NPI registry since February 2007. The organization lists Katherine Lance, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215076062

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameELM PARK, INC

Location Address4300 LOS FLORES BLVDLynwood, CA 90262-2927

Mailing Address3351 E Imperial HwyLynwood, CA 90262-3305 · (310) 638-6691

Phone(310) 638-6691

Organization SubpartNo

Authorized OfficialKatherine LanceCeo · (310) 638-6691

Enumeration DateFebruary 6, 2007

Last NPPES UpdateSeptember 11, 2013

✔ NPI 1215076062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in CA · 960001105

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

4300 LOS FLORES BLVD, Lynwood, CA 90262

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Other Names 1

Doing Business AsElm Park

Other Identifiers 1

MedicaidLTC60909FCA

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 Elm Park, Inc's NPI number?

The NPI number for Elm Park, Inc is 1215076062. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Elm Park.

Where is Elm Park, Inc located?

Elm Park, Inc is located at 4300 Los Flores Blvd, Lynwood, CA 90262. The listed phone number is (310) 638-6691.

What is Elm Park, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Elm Park, Inc was last updated on September 11, 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.