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KINGSLEY PLACE ADHC 2
NPI 1881819837
Clinic/Center - Adult Day Care in Los Angeles, CA

Active since April 16, 2007CLIA 05D1013580 · Waiver
1225 JAMES M. WOOD BLVD., LOS ANGELES, CA 90015(213) 387-9097(213) 387-9098 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2023, Jul 15, 2021 (2 updates tracked since 2021).

About Kingsley Place Adhc 2 NPPES

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

KINGSLEY PLACE ADHC 2 (NPI 1881819837) is a healthcare organization registered as an adult day care in Los Angeles, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Armen Basmadzhyan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1881819837
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameKINGSLEY PLACE ADHC 2
Location Address1225 JAMES M. WOOD BLVD.Los Angeles, CA 90015-1231
Mailing Address1225 James M. Wood Blvd.Los Angeles, CA 90015-1231 · (213) 387-9097 · Fax (213) 387-9098
Phone(213) 387-9097
Fax(213) 387-9098
Organization SubpartNo
Authorized OfficialArmen BasmadzhyanAdministrator · (213) 387-9097
Enumeration DateApril 16, 2007
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1881819837 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 · 060000907
1225 JAMES M. WOOD BLVD., Los Angeles, CA 90015
Open in Google Maps ↗

Other Identifiers 1

MedicaidADU70395FCA

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 05D1013580

Kingsley Place Adhc II · Los Angeles, CA
Active · expires Jun 10, 2027
CLIA Number05D1013580
Laboratory TypeOther
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorJoong Y. Park
Laboratory Phone(213) 387-9097
Laboratory LocationKingsley Place Adhc II1225 James M. Wood Blvd, Los Angeles, CA 90015
CLIA data matches this NPI record on: Address 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 Kingsley Place Adhc 2's NPI number?

The NPI number for Kingsley Place Adhc 2 is 1881819837. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Kingsley Place Adhc 2 located?

Kingsley Place Adhc 2 is located at 1225 James M. Wood Blvd., Los Angeles, CA 90015. The listed phone number is (213) 387-9097.

What is Kingsley Place Adhc 2's specialty?

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

Does Kingsley Place Adhc 2 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1013580) is associated with this NPI, valid through June 10, 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 Kingsley Place Adhc 2 was last updated on January 18, 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.