Broadway Manor Care Center

LBN: Broadway Manor Care Center Llc
Broadway Manor Care Center is an health care organization with primary practice located at 605 W Broadway , Glendale CA 91204-1007. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Broadway Manor Care Center Llc can be contacted via phone (818) 246-7174, or through Friedman, Ira David via phone (213) 389-6900.

Contact Information

Primary practice address
605 W Broadway Glendale CA 91204-1007
Phone: (818) 246-7174
Fax: (818) 246-7635
Website:
Map and Directions
Authorized official contact:
Name: Friedman, Ira David
Phone: (213) 389-6900

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 920000064 California

Profile Details

NPI number 1053480418
LBN Legal business name Broadway Manor Care Center Llc
DBA Doing business as Broadway Manor Care Center
Authorized official Friedman, Ira David
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Sep 29th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053480418 NPPES
California MEDICAID ZZT05670J

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