Freshpath Healthcare Services
NPI 1053689257ActiveOrganization· Assisted Living Facility· North Hollywood, CA
Assisted Living Facility in North Hollywood, California, registered in NPPES in December 2011, part of Freshpath. The authorized official on file is Detro Wilkins, Chief Executive Officer.
Overview
| NPI | 1053689257 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Freshpath |
| NPI issued | Dec 2, 2011 |
| Last updated in NPPES | Feb 21, 2023 |
| Certified by provider | Feb 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
| Hospice Care, Community Based | 251G00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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