533 South Fairfax Avenue Inc in Long Beach - Skilled Nursing Facility
533 South Fairfax Avenue Inc - NPI 1639166242
533 South Fairfax Avenue Inc is a Skilled Nursing Facility in Long Beach, California. 533 South Fairfax Avenue Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for 533 South Fairfax Avenue Inc is 1639166242. The last update date is 2010-12-08.
533 South Fairfax Avenue Inc's current location address is 4115 E Broadway, Long Beach, California. You can contact this provider via phone number 5629300777 and fax number 5629300728. The mailing address for 533 South Fairfax Avenue Inc is 4115 E Broadway, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 533 South Fairfax Avenue Inc |
|---|---|
| Address | 4115 E Broadway, Long Beach, California |
| Phone Number | 5629300777 |
| Fax Number | 5629300728 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Sanchez Piacenti Rosalie |
| Telephone Number | 5629300777 |
NPI Number Detail
| NPI Number | 1639166242 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2010-12-08 |
Provider Mailing Address Detail
| Address | 4115 E Broadway |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908031532 |
| Phone Number | 5629300777 |
| Fax Number | 5629300728 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 910000146 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZT06008G | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to 533 South Fairfax Avenue Inc by the Centers for Medicare & Medicaid Services?
The 533 South Fairfax Avenue Inc has been issued the NPI (National Provider Identifier) 1639166242 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where 533 South Fairfax Avenue Inc is physically located?
The 533 South Fairfax Avenue Inc is physically situated at the following address: 4115 E Broadway, Long Beach, CA, 908031532.
What is 533 South Fairfax Avenue Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The 533 South Fairfax Avenue Inc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
When did the 533 South Fairfax Avenue Inc receive its 1639166242?
The 533 South Fairfax Avenue Inc was issued its 1639166242 on 2005-09-29, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to 533 South Fairfax Avenue Inc most recently updated or revised?
The details related to 533 South Fairfax Avenue Inc, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-08.