Eisenberg Alc

LBN: Eisenberg Village Of The Los Angeles Jewish Home For The Aging
Eisenberg Alc 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 / Assisted Living 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
Fax:
Website:
Authorized official contact:
Name: Forrest, Mary M

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 191201867 California

Profile Details

NPI number 1962612432
LBN Legal business name Eisenberg Village Of The Los Angeles Jewish Home For The Aging
DBA Doing business as Eisenberg Alc
Authorized official Forrest, Mary M
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Aug 26th, 2020 - about 4 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 1962612432 NPPES
California MEDICAID RCF00009F

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