Broadway Manor Care Center Llc in Glendale - Skilled Nursing Facility
Broadway Manor Care Center Llc - NPI 1053480418
Broadway Manor Care Center Llc is a Skilled Nursing Facility in Glendale, California. Broadway Manor Care Center Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Broadway Manor Care Center Llc is 1053480418. The last update date is 2023-09-29.
Broadway Manor Care Center Llc's current location address is 605 W Broadway, Glendale, California. You can contact this provider via phone number 8182467174 and fax number 8182467635. The mailing address for Broadway Manor Care Center Llc is 605 W Broadway, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadway Manor Care Center Llc |
|---|---|
| Address | 605 W Broadway, Glendale, California |
| Phone Number | 8182467174 |
| Fax Number | 8182467635 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Friedman David Ira |
| Telephone Number | 2133896900 |
NPI Number Detail
| NPI Number | 1053480418 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2023-09-29 |
Provider Mailing Address Detail
| Address | 605 W Broadway |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912041007 |
| Phone Number | 8182467174 |
| Fax Number | 8182467635 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 920000064 |
|
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 |
|---|---|---|---|
| ZZT05670J | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Broadway Manor Care Center Llc by the Centers for Medicare & Medicaid Services?
The Broadway Manor Care Center Llc has been assigned the NPI (National Provider Identifier) 1053480418 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Broadway Manor Care Center Llc is located?
The Broadway Manor Care Center Llc is situated at the following address: 605 W Broadway, Glendale, CA, 912041007.
What is Broadway Manor Care Center Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Broadway Manor Care Center Llc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
When did the Broadway Manor Care Center Llc receive its 1053480418?
The Broadway Manor Care Center Llc was issued its 1053480418 on 2006-11-07, which is the date when the organization was assigned this unique identifier.
When was the information related to Broadway Manor Care Center Llc most recently updated or refreshed?
The details pertaining to the Broadway Manor Care Center Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-09-29.
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