Imperial Crest Health Care Center

LBN: Imperial Crest Healthcare Center, Llc
Imperial Crest Health Care Center is an health care organization with primary practice located at 11834 Inglewood Ave , Hawthorne CA 90250-0107. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Imperial Crest Healthcare Center, Llc can be contacted via phone (310) 679-1461, or through Friedman, David via phone (213) 389-6900.

Contact Information

Primary practice address
11834 Inglewood Ave Hawthorne CA 90250-0107
Fax: (310) 679-2511
Website:
Authorized official contact:
Name: Friedman, David

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 910000054 California

Profile Details

NPI number 1316033087
LBN Legal business name Imperial Crest Healthcare Center, Llc
DBA Doing business as Imperial Crest Health Care Center
Authorized official Friedman, David
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 22nd, 2016 - about 8 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 1316033087 NPPES
California MEDICAID LTC55719F

Popular Providers