Icc Convalescent Llc in Studio City - Skilled Nursing Facility

Icc Convalescent Llc - NPI 1265502405

Icc Convalescent Llc is a Skilled Nursing Facility in Studio City, California. Icc Convalescent Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Icc Convalescent Llc is 1265502405. The last update date is 2023-09-29.

Icc Convalescent Llc's current location address is 11441 Ventura Blvd, Studio City, California. You can contact this provider via phone number 8189808200 and fax number 8189802234. The mailing address for Icc Convalescent Llc is 11441 Ventura Blvd, Studio City, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Icc Convalescent Llc
Address 11441 Ventura Blvd, Studio City, California
Phone Number 8189808200
Fax Number 8189802234
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Friedman David Ira
Telephone Number 2133896900

NPI Number Detail

NPI Number 1265502405
Provider Enumeration Date 2006-11-08
Last Updated Date 2023-09-29

Provider Mailing Address Detail

Address 11441 Ventura Blvd
City Studio City
State California (CA)
Post Code 916043143
Phone Number 8189808200
Fax Number 8189802234

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 920000042
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZT05418G CA --

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FAQs about Icc Convalescent Llc

What is the unique 10-digit identification code issued to Icc Convalescent Llc by the Centers for Medicare & Medicaid Services?

The Icc Convalescent Llc has been assigned the NPI (National Provider Identifier) 1265502405 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Icc Convalescent Llc's physical address?

The Icc Convalescent Llc is physically located at 11441 Ventura Blvd, in the city of Studio City, CA, with the postal code 916043143.

What is the Icc Convalescent Llc's area of specialization and corresponding taxonomy classification?

The Icc Convalescent Llc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.

When did the Icc Convalescent Llc receive its 1265502405?

The Icc Convalescent Llc was issued its 1265502405 on 2006-11-08, which is the date when the organization was assigned this unique identifier.

As of what date were the Icc Convalescent Llc's details last updated?

The information pertaining to the Icc Convalescent Llc, including its address, specialty, and other details, was most recently updated on 2023-09-29.

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