Seaport 17Th Care Center

LBN: Seaport Care Center, L.P.
Seaport 17Th Care Center is an health care organization with primary practice located at 1330 17Th St , Santa Monica CA 90404-1902. 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. Seaport Care Center, L.P. can be contacted via phone (310) 829-5411, or through Friedman, Barry D. via phone (310) 829-5411.

Contact Information

Primary practice address
1330 17Th St Santa Monica CA 90404-1902
Fax: (310) 453-7704
Website:
Authorized official contact:
Name: Friedman, Barry D.

Health care specialties

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

Profile Details

NPI number 1164403739
LBN Legal business name Seaport Care Center, L.P.
DBA Doing business as Seaport 17Th Care Center
Authorized official Friedman, Barry D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2005
Last updated Aug 22nd, 2020 - about 5 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 1164403739 NPPES
California MEDICAID ZZT05155I

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