IMMORTELLE INC
NPI 1922767250
Home Health in Los Angeles, CA

Active since December 14, 2021
300 S DOHENY DR STE 510, LOS ANGELES, CA 90048(424) 355-9023(424) 389-7037 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2026, Dec 14, 2021 (2 updates tracked since 2021).

About Immortelle Inc NPPES

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

IMMORTELLE INC (NPI 1922767250), doing business as Immortelle Med, is a healthcare organization registered as a home health in Los Angeles, California and active in the NPI registry since December 2021. The organization lists Jessica Jacobson, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1922767250
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameIMMORTELLE INC
Location Address300 S DOHENY DR STE 510Los Angeles, CA 90048-3704
Mailing Address640 S San Vicente Blvd Ste 264Los Angeles, CA 90048-4884 · (424) 271-0010
Fax(424) 389-7037
Organization SubpartNo
Authorized OfficialJessica JacobsonOwner/president · (424) 355-9023
Enumeration DateDecember 14, 2021
Last NPPES UpdateApril 18, 20262 updates tracked since enumeration
NPPES CertifiedApril 18, 2026
NPI 1922767250 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.
300 S DOHENY DR STE 510, Los Angeles, CA 90048

Other Names 1

Doing Business AsImmortelle Med

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 Immortelle Inc's NPI number?

The NPI number for Immortelle Inc is 1922767250. It was assigned to this organization in the NPPES registry on December 14, 2021. The provider is doing business as Immortelle Med.

Where is Immortelle Inc located?

Immortelle Inc is located at 300 S Doheny Dr Ste 510, Los Angeles, CA 90048. The listed phone number is (424) 355-9023.

What is Immortelle Inc'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 Immortelle Inc was last updated on April 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.