PROFOUND HEALTH CARE
NPI 1497813349
Home Health in Los Angeles, CA

Q: What is Profound Health Care's NPI number?

The NPI number for Profound Health Care is 1497813349. It was assigned to this organization in the NPPES registry on December 4, 2006.

Q: What is Profound Health Care's specialty?

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

Active since December 04, 2006

4078 CRENSHAW BLVD, LOS ANGELES, CA 90008(323) 294-3559(323) 294-3362 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Profound Health Care NPPES

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

PROFOUND HEALTH CARE (NPI 1497813349) is a healthcare organization registered as a home health in Los Angeles, California and active in the NPI registry since December 2006. The organization lists Bennie Nibo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497813349

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NamePROFOUND HEALTH CARE

Location Address4078 CRENSHAW BLVDLos Angeles, CA 90008-2515

Mailing Address4078 Crenshaw BlvdLos Angeles, CA 90008-2515 · (323) 294-3559 · Fax (323) 294-3362

Phone(323) 294-3559

Fax(323) 294-3362

Organization SubpartNo

Authorized OfficialBennie NiboAdministrator · (323) 294-3559

Enumeration DateDecember 4, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1497813349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

4078 CRENSHAW BLVD, Los Angeles, CA 90008

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Other Identifiers 1

MedicaidHHA08024FCA

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 Profound Health Care's NPI number?

The NPI number for Profound Health Care is 1497813349. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Profound Health Care located?

Profound Health Care is located at 4078 Crenshaw Blvd, Los Angeles, CA 90008. The listed phone number is (323) 294-3559.

What is Profound Health Care's specialty?

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

When was this NPI record last updated?

The NPPES record for Profound Health Care was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.