Kennedy Care Center

LBN: Mek Kennedy, Llc
Kennedy Care Center is an health care organization with primary practice located at 619 N Fairfax Ave , Los Angeles CA 90036-1714. 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. Mek Kennedy, Llc can be contacted via phone (132) 365-1004, or through Pedraja, Fernan via phone (181) 824-7620.

Contact Information

Primary practice address
619 N Fairfax Ave Los Angeles CA 90036-1714
Phone: (132) 365-1004
Fax: (132) 365-1375
Website:
Map and Directions
Authorized official contact:
Name: Pedraja, Fernan
Phone: (181) 824-7620

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 970000040 California

Profile Details

NPI number 1144226861
LBN Legal business name Mek Kennedy, Llc
DBA Doing business as Kennedy Care Center
Authorized official Pedraja, Fernan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2005
Last updated Apr 11th, 2016 - 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 1144226861 NPPES
California Other 05D0556903 CLIA ID NUMBER
California MEDICAID ZZT05977G CLIA ID NUMBER

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