Latoreia R Mack · Day Training/Habilitation Specialist

12021 Wilmington Ave Fl 4, Los Angeles, CA 90059-3019

Overview

Latoreia R Mack is a Day Training/Habilitation Specialist practicing in Los Angeles, California. The National Provider Identifier (NPI) is #1508746009, which was assigned on September 4, 2025, and the registration record was last updated on September 4, 2025. The practitioner's main practice location is at 12021 Wilmington Ave Fl 4, Los Angeles, CA 90059-3019; the contact telephone number is 2135743567. The primary taxonomy of Latoreia R Mack is Day Training/Habilitation Specialist (373H00000X).

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Provider Information

NPI 1508746009
Entity Type Individual
Provider Name LATOREIA R MACK
Gender Female
Practice Address 12021 Wilmington Ave Fl 4
Los Angeles
CA 90059-3019
Practice Telephone 2135743567
Mailing Address 12021 Wilmington Ave Fl 4
Los Angeles
CA 90059-3019
Mailing Telephone 2135743567
Certification Date 2025-09-04
Enumeration Date 2025-09-04
Last Update Date 2025-09-04
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y373H00000XDay Training/Habilitation Specialist193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 373H00000X
Taxonomy Day Training/Habilitation Specialist
Classification Day Training/Habilitation Specialist
Grouping Nursing Service Related Providers
Definition: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Elise Diane Reese 305 N 4th St, Norfolk, NE 68701-4003Day Training/Habilitation Specialist2025-09-05
Deborah Leyba 725 E Main St Fl 3, Santa Paula, CA 93060-2748Day Training/Habilitation Specialist2025-09-04
Melissa J Richter 431 Fulton St, Wheeling, WV 26003-6529Day Training/Habilitation Specialist2025-09-04
Ricardo Ciro Davila 4141 N Blackstone Ave, Fresno, CA 93726-3808Day Training/Habilitation Specialist2025-09-05
Desiree Pablico 1340 Tully Rd Ste 301, San Jose, CA 95122-3055Day Training/Habilitation Specialist2025-09-03
Alan Jimenez 528 South Ave, Gretna, NE 68028-4500Day Training/Habilitation Specialist2025-09-05
Antonio Andres Marcos 20101 Hamilton Ave, Torrance, CA 90502-1351Day Training/Habilitation Specialist2025-09-04
Jessica Sierra Ramirez 222 E Main St Ste 117, Barstow, CA 92311-2365Day Training/Habilitation Specialist2025-09-05
Serena Clark 309 W Madison Ave, Norfolk, NE 68701-5227Day Training/Habilitation Specialist2025-09-05
Perla E Busch 831 E Arrow Hwy, Pomona, CA 91767-2535Day Training/Habilitation Specialist2025-09-04
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Location Information

Street Address 12021 WILMINGTON AVE FL 4
City LOS ANGELES
State CA
Zip Code 90059-3019
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Healthright 360 12021 South Wilmington Ave, Building 18, Suite 300, Los Angeles, CA 90059-3019Substance Abuse Rehabilitation Facility2022-03-08
Odilia Mendez 12021 Wilmington Ave # 2b, Los Angeles, CA 90059-3019Licensed Vocational Nurse2025-06-30
Isela Cuahutle 12021 Wilmington Ave Ste 101, Los Angeles, CA 90059-3019Addiction (Substance Use Disorder) Counselor2024-04-03
Los Angeles County Department of Mental Health 12021 S. Wilmington Ave Rm 2a, Los Angeles, CA 90059-3019Mental Health Clinic/Center (Including Community Mental Health Center)2015-03-12
Mary Stephanie Romero 12021 Wilmington Ave Unit 4a, Los Angeles, CA 90059-3019Recreation Therapist2025-04-08
Los Angeles County Department of Mental Health 12021 Wilmington Ave. Building 18 Ste 4d, Los Angeles, CA 90059-3019Mental Health Clinic/Center (Including Community Mental Health Center)2025-05-13
Berenice Miramontes 12021 Wilmington Ave Ste 2b, Los Angeles, CA 90059-3019Community Health Worker2023-09-11
Emely Francisco Silva 12021 Wilmington Ave Bldg 18, Los Angeles, CA 90059-3019Day Training/Habilitation Specialist2025-08-28
Alycesha Fay Carter 12021s Wilmington Ave, Los Angeles, CA 90059-3019Day Training/Habilitation Specialist2025-03-04
Andrew Chavez Rivera 12021 Wilmington Ave Bldg.18 Ste. 101, Los Angeles, CA 90059-3019Licensed Vocational Nurse2024-07-09
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Synisha Burroughs 12021 Wilmington Avenue, Building 18 (5th Floor - Pod B), Los Angeles, CA 90059Licensed Vocational Nurse2025-07-11
Mp Senior Services (Mpss) LLC 1248 E 123rd St, Los Angeles, CA 90059Private Vehicle2025-01-21
Gloria Cecilia Thomas Allen 12121 Wilmington Ave Building 18 Site 4d, Los Angeles, CA 90059Community Health Worker2019-03-11
Watts World Revival 11328 S Central Ave, Los Angeles, CA 90059-1642Community/Behavioral Health Agency2025-03-06
Jamie Lisette Maravilla 2069 E 120th St, Los Angeles, CA 90059Behavior Technician2025-07-22
Sergio Hernandez Trujillo 12021 S Wilmington Ave, Building 18 Suite 101, Los Angeles, CA 90059Licensed Vocational Nurse2017-10-11
Ana Lesly Tavira-Nava 12021 S. Wilmington Ave., Bldg #18 Suite 101, Los Angeles, CA 90059Student in an Organized Health Care Education/Training Program2019-09-27
Mireya Nunez Perez 710 E 111th Pl, Los Angeles, CA 90059-1518Case Manager/Care Coordinator2021-08-25
Citlalli Gonzalez 710 E 111th Pl, Los Angeles, CA 90059-1518Rehabilitation Practitioner2019-03-04
Brian Mosley 12021 S Wilmington Ave, Bldg 18, Ste 301, Los Angeles, CA 90059Addiction (Substance Use Disorder) Counselor2025-02-14
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Iris Mack 120 Bethpage Rd, Hicksville, NY 11801-1515Psychiatric/Mental Health Registered Nurse2025-08-01
Erin Kathleen Mack Graves 601 Spruce St, West Reading, PA 19611-1443Neurological Surgery Physician2017-05-11
Manas Mack Sarangi · Mack Sheraton 6411 Fannin St, Houston, TX 77030-1501Emergency Medicine Physician2010-07-09
Sarah Elizabeth Veraldi Mack Shotts · Sarah Elizabeth Mack 932 Saint Clair Way Ste 1, Greensburg, PA 15601-3547Massage Therapist2018-03-29
E'Lon Mack 1498 Se Tech Center Pl Ste 180, Vancouver, WA 98683-5518Counselor2020-01-15
Shayde Mack 4635 W College Ave, Appleton, WI 54914-8507Clinical Social Worker2022-08-25
Summer Dental Mack · Summer Sophia Mack 12 Regional Dr, Pinehurst, NC 28374-8850Dentist2025-06-30
Jimmie Mack Short · James Mack Short 8523 E 11th St, Ste A, Tulsa, OK 74112Family Medicine Physician2006-04-04
Taylor Mack 6151 Mountain Vista St, Henderson, NV 89014-2347Behavior Technician2025-08-09
Mack Prince 8025 Grand Ave, West Des Moines, IA 50266-5360Student in an Organized Health Care Education/Training Program2025-08-21

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.