# K AND S GROUP HOME 11 INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** LUIS CENDANA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679660898
- **Authorized official:** MRS. DIVINA PASAPORTE CENDANA (OWNER)
- **Authorized official phone:** (310) 326-0374

## Contact information

- **Practice address:** 22008 RASHDALL AVE, CARSON, CA 90745-2916
- **Practice address phone:** (310) 834-3644
- **Practice address fax:** (310) 834-2899
- **Mailing address:** 1503 254TH ST, HARBOR CITY, CA 90710-2716
- **Mailing address phone:** (310) 326-0374
- **Mailing address fax:** (310) 517-4843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 07/02/2008