Eisenberg Village
LBN: Eisenberg Village Of The Los Angeles Jewish Home For The Aging
Eisenberg Village is an health care organization with primary practice located at 18855 Victory Blvd , Reseda CA 91335-6445. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty.
Eisenberg Village Of The Los Angeles Jewish Home For The Aging can be contacted via phone (818) 774-3000, or through Forrest, Mary M via phone (818) 774-9208.
Contact Information
Primary practice address
18855 Victory Blvd
Reseda CA 91335-6445
Phone: (818) 774-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 920000043 | California |
Profile Details
| NPI number | 1215930995 |
|---|---|
| LBN Legal business name | Eisenberg Village Of The Los Angeles Jewish Home For The Aging |
| DBA Doing business as | Eisenberg Village |
| Authorized official | Forrest, Mary M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Dec 20th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215930995 | NPPES |
| California | MEDICAID | ZZT08013F |
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