Lakewood Manor North Inc in Los Angeles - Skilled Nursing Facility
Lakewood Manor North Inc - NPI 1083759500
Lakewood Manor North Inc is a Skilled Nursing Facility in Los Angeles, . Lakewood Manor North Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Lakewood Manor North Inc is 1083759500. The last update date is 2012-06-18.
Lakewood Manor North Inc's current location address is 831 S Lake Street, Los Angeles, . You can contact this provider via phone number 2133809175 and fax number 2133801879. The mailing address for Lakewood Manor North Inc is 831 S Lake Street, Los Angeles, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakewood Manor North Inc |
|---|---|
| Address | 831 S Lake Street, Los Angeles, |
| Phone Number | 2133809175 |
| Fax Number | 2133801879 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Elliott Charles Kim |
| Telephone Number | 2133809175 |
NPI Number Detail
| NPI Number | 1083759500 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2012-06-18 |
Provider Mailing Address Detail
| Address | 831 S Lake Street |
|---|---|
| City | Los Angeles |
| State | (USA) |
| Post Code | USA |
| Phone Number | 2133809175 |
| Fax Number | 2133801879 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 970000069 |
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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 |
|---|---|---|---|
| ZZT06078F | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lakewood Manor North Inc?
The Lakewood Manor North Inc has been issued the NPI (National Provider Identifier) 1083759500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Lakewood Manor North Inc is physically located?
The Lakewood Manor North Inc is situated at the following address: 831 S Lake Street, Los Angeles, USA USA.
What is the Lakewood Manor North Inc's specialty and taxonomy code?
The Lakewood Manor North Inc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083759500 to Lakewood Manor North Inc?
The Lakewood Manor North Inc received its 1083759500 assignment from the Centers for Medicare & Medicaid Services on 2007-02-21.
When was the information pertaining to Lakewood Manor North Inc most recently updated or revised?
The details related to Lakewood Manor North Inc, including its address, specialty, and other relevant information, were last updated or revised on 2012-06-18.