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Pioneer Home Llc
Psychiatric/Mental Health Nurse Practitioner in Gardena, California
NPI 1891311833

Pioneer Home Llc is a Psychiatric/Mental Health Nurse Practitioner based in Carson, CA and is specialized in Psychiatric/Mental Health. Pioneer Home Llc practices in Gardena, CA. The NPI Number for Pioneer Home Llc is 1891311833 and holds a License No. (California).

The current practice location address for Pioneer Home Llc is 1204 W Gardena Blvd Ste B, Gardena, CA and can be reached out via phone at 424-653-7426.

Location: 1204 W Gardena Blvd Ste B, Gardena, CA, 90746-7481
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891311833
Provider Name
Pioneer Home Llc
Credential
Provider Entity Type
Organization
Address
1204 W Gardena Blvd Ste B, Gardena, CA, 90746-7481
Phone Number
424-653-7426
Fax Number
Provider Enumeration Date
06/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1204 W Gardena Blvd Ste B
City
Gardena
State
California
Zip
90247-5923
Phone Number
424-653-7426
Fax Number
person
Provider Business Mailing Address Details
Address
1204 W Gardena Blvd Ste B
City
Gardena
State
California
Zip
90247-5923
Phone Number
424-653-7426
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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