PIONEER HOME LLC
NPI 1891311833
Nurse Practitioner - Psychiatric/Mental Health in Gardena, CA

Active since June 24, 2020
1204 W GARDENA BLVD STE B, GARDENA, CA 90247(424) 653-7426 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2021, Jun 24, 2020 (2 updates tracked since 2020).

About Pioneer Home Llc NPPES

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

PIONEER HOME LLC (NPI 1891311833) is a healthcare organization registered as a psychiatric/mental health in Gardena, California and active in the NPI registry since June 2020. The organization maintains a secondary practice location in Minneapolis and lists Ifeoma Nwufor, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891311833
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePIONEER HOME LLC
Location Address1204 W GARDENA BLVD STE BGardena, CA 90247-5923
Mailing Address17817 Hazelwood CtCarson, CA 90746-7481 · (424) 653-7426
Organization SubpartNo
Authorized OfficialIfeoma NwuforAdministrator · (424) 653-7426
Enumeration DateJune 24, 2020
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
NPI 1891311833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedHome HealthTaxonomy 251E00000X
1204 W GARDENA BLVD STE B, Gardena, CA 90247

Secondary Practice Location 1

Location 19112 Yates BayMinneapolis, MN 55443-1628 · Phone (424) 567-9808

Other Providers at the Same Location NPPES 2

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

Non-emergency Medical Transport (VAN)
1204 W GARDENA BLVD STE B
GARDENA, CA 90247
Nurse Practitioner (Psychiatric/Mental Health)
1204 W GARDENA BLVD STE B
GARDENA, CA 90247

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 Pioneer Home LLC's NPI number?

The NPI number for Pioneer Home LLC is 1891311833. It was assigned to this organization in the NPPES registry on June 24, 2020.

Where is Pioneer Home LLC located?

Pioneer Home LLC is located at 1204 W Gardena Blvd Ste B, Gardena, CA 90247. The listed phone number is (424) 653-7426.

What is Pioneer Home LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Pioneer Home LLC was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.