Glen Park At Valley Village

LBN: Glen Park At Valley Village
Glen Park At Valley Village is an health care organization with primary practice located at 5527 Laurel Canyon Blvd , Valley Village CA 91607-2116. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), which is considered as the primary health care specialty. Glen Park At Valley Village can be contacted via phone (818) 769-6626, or through Pink, Tillman via phone (818) 769-6626.

Contact Information

Primary practice address
5527 Laurel Canyon Blvd Valley Village CA 91607-2116
Phone: (818) 769-6626
Fax: (818) 761-2199
Website:
Map and Directions
Authorized official contact:
Name: Pink, Tillman
Phone: (818) 769-6626

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X 197603165 California

Profile Details

NPI number 1942484837
LBN Legal business name Glen Park At Valley Village
DBA Doing business as
Authorized official Pink, Tillman
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2007
Last updated Jan 8th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942484837 NPPES
California MEDICAID RCF00032F

Popular Providers