Elm Park

LBN: Elm Park, Inc
Elm Park is an health care organization with primary practice located at 4300 Los Flores Blvd , Lynwood CA 90262-2927. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Elm Park, Inc can be contacted via phone (310) 638-6691, or through Lance, Katherine via phone (310) 638-6691.

Contact Information

Primary practice address
4300 Los Flores Blvd Lynwood CA 90262-2927
Phone: (310) 638-6691
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lance, Katherine MHA
Phone: (310) 638-6691

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 960001105 California

Profile Details

NPI number 1215076062
LBN Legal business name Elm Park, Inc
DBA Doing business as Elm Park
Authorized official Lance, Katherine MHA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Sep 11th, 2013 - about 12 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 1215076062 NPPES
California MEDICAID LTC60909F

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