Glen-Park West Retirement Community, Inc

LBN: Glen-Park West Retirement Community, Inc
Glen-Park West Retirement Community, Inc is an health care organization with primary practice located at 1220 Mariposa St , Glendale CA 91205-3254. 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. Glen-Park West Retirement Community, Inc can be contacted via phone (818) 242-9000, or through Pink Jr, Tillman via phone (818) 242-9000.

Contact Information

Primary practice address
1220 Mariposa St Glendale CA 91205-3254
Phone: (818) 242-9000
Fax: (818) 242-3972
Website:
Map and Directions
Authorized official contact:
Name: Pink Jr, Tillman
Phone: (818) 242-9000

Health care specialties

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

Profile Details

NPI number 1518140920
LBN Legal business name Glen-Park West Retirement Community, Inc
DBA Doing business as
Authorized official Pink Jr, Tillman
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2007
Last updated Dec 7th, 2007 - about 18 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 1518140920 NPPES
California MEDICAID RCF00031F

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