Ebora Guest Home in Los Angeles - Intermediate Care Facility, Intellectual Disabilities
Ebora Guest Home - NPI 1528276730
Ebora Guest Home is a Intermediate Care Facility, Intellectual Disabilities in Los Angeles, California. Ebora Guest Home practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Ebora Guest Home is 1528276730. The last update date is 2020-08-22.
Ebora Guest Home's current location address is 245 S Harvard Blvd, Los Angeles, California. You can contact this provider via phone number 2137390908 and fax number 2133893240. The mailing address for Ebora Guest Home is 245 S Harvard Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ebora Guest Home |
|---|---|
| Address | 245 S Harvard Blvd, Los Angeles, California |
| Phone Number | 2137390908 |
| Fax Number | 2133893240 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSEE |
|---|---|
| Authorized Official Name | Ebora Effie |
| Telephone Number | 2137390908 |
NPI Number Detail
| NPI Number | 1528276730 |
|---|---|
| Provider Enumeration Date | 2007-05-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 245 S Harvard Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900044303 |
| Phone Number | 2137390908 |
| Fax Number | 2133893240 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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Post Comment/ Review Below
What is the Ebora Guest Home's 1528276730?
The Ebora Guest Home's NPI (National Provider Identifier) Number is 1528276730. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Ebora Guest Home is physically located?
The Ebora Guest Home is physically situated at the following address: 245 S Harvard Blvd, Los Angeles, CA, 900044303.
What is Ebora Guest Home's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ebora Guest Home's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
On what date did the Ebora Guest Home receive its 1528276730 assignment from the Centers for Medicare & Medicaid Services?
The Ebora Guest Home was assigned its 1528276730 by the Centers for Medicare & Medicaid Services on 2007-05-19.
As of what date was the information pertaining to Ebora Guest Home, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ebora Guest Home, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.