FORMATION INC (NPI# 1063988335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063988335 |
| Entity Type | Organization |
| Organization Name | FORMATION INC |
| Practice Address |
1611 Westwood Blvd Los Angeles CA 90024 |
| Practice Telephone | 3104297110 |
| Mailing Telephone | 3104297110 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | IAN VATAN (OWNER) |
| Authorized Official Telephone | 3104297110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Formation Health Care Staffing | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | FORMATION INC | 35 Stillman Street, San Francisco, CA 94107 |
| Street Address |
1611 WESTWOOD BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523071 | World of Health Therapy Inc | Behavioral Analyst | 1539 Woodruff Avenue, Apartment 304, Los Angeles, CA 90024 | 2019-11-21 |
| 1124504956 | Sherry Sinsay Alamdari | Marriage & Family Therapist | 1328 Westwood Blvd #35, Los Angeles, CA 90024 | 2018-07-15 |
| 1386140739 | Ellen Frances Charles | Student in an Organized Health Care Education/Training Program | Ucla Psychiatry House Staff Office, 760 Westwood Plaza, Suite 37-384, Los Angeles, CA 90024 | 2018-04-04 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1467979658 | Jessica Lessing O'leary | Student in an Organized Health Care Education/Training Program | 760 Westwood Plz # A7-361, Los Angeles, CA 90024 | 2017-08-28 |
| 1144745076 | Mastane M Shalikar | Dental Hygienist | 10683 Holman Ave, #5, Los Angeles, CA 90024 | 2017-08-11 |
| 1902321367 | Mamdouh Alrata | Dentist | 606 Levering Ave, Apt # 312, Los Angeles, CA 90024 | 2017-08-07 |
| 1366988834 | Sibel Kantarci | Medical Genetics | 1010 Veteran Avenue, West Medical Building, Ucla Clinical and Molecular Cytogenetics Laboratory, Los Angeles, CA 90024 | 2017-01-09 |
| 1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
| 1013468057 | Vala Kondo-legan | Marriage & Family Therapist | 1314 Westwood Boulevard #201, Los Angeles, CA 90024 | 2016-10-14 |
| Find all providers in zip 90024 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033062 | Cityrose Home Health Services Inc. | Home Health | 2107 W Manchester Ave Ste 206, Los Angeles, CA 90047-2953 | 2020-11-06 |
| 1356941819 | Simple Touch Home Care Inc. | Home Health | 5250 Santa Monica Blvd Ste 211, Los Angeles, CA 90029-1254 | 2020-10-26 |
| 1568079903 | Yes To Care | Home Health | 5300 Santa Monica Blvd Ste 217, Los Angeles, CA 90029-1258 | 2020-09-29 |
| 1760099857 | Next Care Home Health Inc. | Home Health | 5300 Santa Monica Blvd Ste 301a, Los Angeles, CA 90029-1259 | 2020-09-23 |
| 1912512914 | Helping Life Home Health Care, Inc | Home Health | 2310 Pasadena Ave Unit 209, Los Angeles, CA 90031-2261 | 2020-09-15 |
| 1013521194 | West Coast Valley Home Health Inc. | Home Health | 3355 Cahuenga Blvd W Ste 7, Los Angeles, CA 90068-1327 | 2020-09-04 |
| 1073126447 | Kac for Seniors, Inc. | Home Health | 4872 Venice Blvd, Los Angeles, CA 90019-5662 | 2020-08-26 |
| 1467061580 | Los Feliz Health Care, Inc. | Home Health | 3111 Los Feliz Blvd Ste 203a, Los Angeles, CA 90039-1585 | 2020-07-24 |
| 1093324279 | Royal Hollywood Healthcare Inc. | Home Health | 5068 Hollywood Blvd Ste A, Los Angeles, CA 90027-6139 | 2020-07-23 |
| 1104447234 | Loved One Care Inc. | Home Health | 633 W 5th St Ste 810, Los Angeles, CA 90071-3546 | 2020-04-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90024 |
Please comment or provide details below to improve the information on FORMATION INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.