Keiro Intermediate Care Facility

LBN: Japanese Home For The Aged
Keiro Intermediate Care Facility is an health care organization with primary practice located at 325 S Boyle Ave , Los Angeles CA 90033-3812. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Japanese Home For The Aged can be contacted via phone (323) 263-9655, or through Miyake, Shawn via phone (323) 980-7500.

Contact Information

Primary practice address
325 S Boyle Ave Los Angeles CA 90033-3812
Phone: (323) 263-9655
Fax: (323) 263-2721
Website:
Map and Directions
Authorized official contact:
Name: Miyake, Shawn
Phone: (323) 980-7500

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 970000039 California

Profile Details

NPI number 1063512978
LBN Legal business name Japanese Home For The Aged
DBA Doing business as Keiro Intermediate Care Facility
Authorized official Miyake, Shawn
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Feb 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063512978 NPPES
California MEDICAID LTC90079F

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