Providence St. Elizabeth Care Center
LBN: Providence Health System - Southern California
Providence St. Elizabeth Care Center is an health care organization with primary practice located at 10425 Magnolia Blvd , North Hollywood CA 91601-4109. 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.
Providence Health System - Southern California can be contacted via phone (818) 980-3872, or through Anderson, Donald W via phone (425) 525-5392.
Contact Information
Primary practice address
10425 Magnolia Blvd
North Hollywood CA 91601-4109
Phone: (818) 980-3872
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 920000070 | California |
Profile Details
| NPI number | 1477647444 |
|---|---|
| LBN Legal business name | Providence Health System - Southern California |
| DBA Doing business as | Providence St. Elizabeth Care Center |
| Authorized official | Anderson, Donald W |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 10th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477647444 | NPPES |
| California | MEDICAID | ZZT05192H |
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