CMS-1500 Box 24J / 33a • NPI
1336780774
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
251V00000X (CMS 61)
Licensed & Credentialed Agencies — Voluntary or Charitable
Box 32 Service Location & ZIP+4
879 W 190TH ST STE 430, GARDENA, CA, 90248-4273
✓ 9-Digit EDI 837 ZIP+4 (90248-4273)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1336780774 (A.F.F.R.E.E.C.A.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1336780774 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | A.F.F.R.E.E.C.A. |
| Plain-English Specialty | Licensed & Credentialed Agencies — Voluntary or Charitable NUCC Code: 251V00000X (Voluntary or Charitable) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 879 W 190TH ST STE 430, GARDENA, CA, 90248-4273 |
| Practice Telephone / Fax | Tel: (310) 590-8740 |
| Administrative Mailing Address | 879 W 190TH ST STE 430, GARDENA, CA, 90248-4273 |
| Enumeration & Last Sync | Enumerated: 2019-10-07 | CMS Record Updated: 2024-12-04 |
| Authorized Official | IVY NGENE (LVN) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (251V00000X)
What Does Taxonomy Code 251V00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251V00000X translates to:
"Licensed & Credentialed Agencies — Voluntary or Charitable"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (A.F.F.R.E.E.C.A.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
251E00000X — Home HealthPlain English: CMS-Certified Home Health Care & Skilled Nursing Agency | State: N/A | License: Verified | Primary: Secondary |
251K00000X — Public Health or WelfarePlain English: Licensed & Credentialed Agencies — Public Health or Welfare | State: N/A | License: Verified | Primary: Secondary |
251S00000X — Community/Behavioral HealthPlain English: Licensed & Credentialed Community/Behavioral Health | State: N/A | License: Verified | Primary: Secondary |
251V00000X — Voluntary or CharitablePlain English: Licensed & Credentialed Agencies — Voluntary or Charitable | State: N/A | License: Verified | Primary: Yes (Primary) |
261QC1500X — Clinic/Center, Community HealthPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
343900000X — Non-emergency Medical Transport (VAN)Plain English: Licensed & Credentialed Non-emergency Medical Transport (VAN) | State: N/A | License: Verified | Primary: Secondary |
385HR2050X — Respite Care, Respite Care CampPlain English: Licensed & Credentialed Respite Care, Respite Care Camp | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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