1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Clinic Center
  6. NPI Profile

BEVERLY ADULT DAY HEALTH CARE CENTER
NPI 1306047097
Clinic/Center - Adult Day Care in Los Angeles, CA

Active since May 30, 2007CLIA 05D1020648 · Waiver
316 N WESTERN AVE, LOS ANGELES, CA 90004(323) 957-9777(323) 957-9741 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Beverly Adult Day Health Care Center NPPES

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

BEVERLY ADULT DAY HEALTH CARE CENTER (NPI 1306047097) is a healthcare organization registered as an adult day care in Los Angeles, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists In Ja Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1306047097
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameBEVERLY ADULT DAY HEALTH CARE CENTER, INC.
Location Address316 N WESTERN AVELos Angeles, CA 90004-2615
Mailing Address316 N Western AveLos Angeles, CA 90004-2615 · (323) 957-9777 · Fax (323) 957-9741
Phone(323) 957-9777
Fax(323) 957-9741
Organization SubpartNo
Authorized OfficialIn Ja LeeOwner · (323) 957-9777
Enumeration DateMay 30, 2007
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1306047097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License✔ Licensed in CA · 060000905
316 N WESTERN AVE, Los Angeles, CA 90004
Open in Google Maps ↗

Other Names 1

Doing Business AsBeverly Adult Day Health Care Center

Other Identifiers 2

OtherADU70391FCA · Medi-cal Provider Number
OtherCMCSUBKUZCA · Cmc Upload Number

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 05D1020648

Beverly Adult Day Health Care Center · Los Angeles, CA
Active · expires Dec 28, 2027
CLIA Number05D1020648
Laboratory TypeAdult Day Health Care
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorLilit Yegiazaryan
Laboratory Phone(323) 957-9777
Laboratory LocationBeverly Adult Day Health Care Center316 N Western Avenue, Los Angeles, CA 90004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Beverly Adult Day Health Care Center, Inc.'s NPI number?

The NPI number for Beverly Adult Day Health Care Center, Inc. is 1306047097. It was assigned to this organization in the NPPES registry on May 30, 2007. The provider is doing business as Beverly Adult Day Health Care Center.

Where is Beverly Adult Day Health Care Center, Inc. located?

Beverly Adult Day Health Care Center, Inc. is located at 316 N Western Ave, Los Angeles, CA 90004. The listed phone number is (323) 957-9777.

What is Beverly Adult Day Health Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Beverly Adult Day Health Care Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1020648) is associated with this NPI, valid through December 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beverly Adult Day Health Care Center, Inc. was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.