<Unavail>

LBN: Grancell Village Of The Los Angeles Jewish Home For The Aging
<Unavail> is an health care organization with primary practice located at 7150 Tampa Ave , Reseda CA 91335-3700. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Grancell Village Of The Los Angeles Jewish Home For The Aging can be contacted via phone (818) 774-3000, or through Forrest, Mary M via phone (818) 774-3208.

Contact Information

Primary practice address
7150 Tampa Ave Reseda CA 91335-3700
Phone: (818) 774-3000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Forrest, Mary M
Phone: (818) 774-3208

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 920000013 California

Profile Details

NPI number 1417950163
LBN Legal business name Grancell Village Of The Los Angeles Jewish Home For The Aging
DBA Doing business as <Unavail>
Authorized official Forrest, Mary M
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Jul 22nd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417950163 NPPES
California MEDICAID ZZT05900F

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