# COMMUNITY OF LA RECUPERATIVE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMUNITY OF LA RECUPERATIVE CARE LLC
- **Other names:** COLARC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700555042
- **Legal business name:** COMMUNITY OF LA RECUPERATIVE CARE LLC
- **Authorized official:** MR. CLYDE TAN GOMEZ MBA, BSBM (ADMINISTRATOR)
- **Authorized official phone:** (818) 839-8911

## Contact information

- **Practice address:** 13856 LOUVRE ST, PACOIMA, CA 91331-3539
- **Practice address phone:** (818) 839-8911
- **Mailing address:** 13856 LOUVRE ST, PACOIMA, CA 91331-3539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 10/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 844572941 | PRIVATE | CA |