BROADWAY MANOR CARE CENTER INC (NPI# 1053480418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053480418 |
| Entity Type | Organization |
| Organization Name | BROADWAY MANOR CARE CENTER INC |
| Other Organization Name | BROADWAY MANOR CARE CENTER |
| Practice Address |
605 W Broadway Glendale CA 91204-1007 |
| Practice Telephone | 8182467174 |
| Practice Fax Number | 8182467635 |
| Mailing Telephone | 8182467174 |
| Mailing Fax Number | 8182467635 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | MR. DAVID FRIEDMAN (PRESIDENT) |
| Authorized Official Telephone | 2133896900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 920000064 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT05670J | 05 |
| Other Name | Type Code |
|---|---|
| BROADWAY MANOR CARE CENTER | Doing Business As Name - Organization |
| Street Address |
605 W BROADWAY |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245687649 | Michelle Bautista | Occupational Therapist | 605 W Broadway, Glendale, CA 91204-1007 | 2016-05-16 |
| 1013362979 | Adriana Quintero | Physical Therapist | 605 W Broadway, Glendale, CA 91204-1007 | 2016-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
| 1568929891 | Family Care Clhf, Inc. | Skilled Nursing Facility | 1412 Cleveland Rd, Glendale, CA 91202-1415 | 2019-02-22 |
| 1831645282 | Glendale House Clhs, Inc. | Skilled Nursing Facility | 620 Myrtle St, Glendale, CA 91203-1612 | 2016-08-26 |
| 1881085728 | Center At Arrowhead, LLC | Skilled Nursing Facility | 7201 W. Camino San Xavier Ave., Glendale, AZ 85308 | 2015-02-13 |
| 1740543545 | Kindred | Skilled Nursing Facility | 5677 N Argyle Ave, Glendale, WI 53209-4359 | 2012-06-18 |
| 1447498852 | Ahc of Glendale LLC | Skilled Nursing Facility | 16825 N 63rd Avenue, Glendale, AZ 85306-1001 | 2009-01-23 |
| 1043335979 | Andrea M Martell | Skilled Nursing Facility | 17600 N 79th Ave, Apt 102, Glendale, AZ 85308-8682 | 2007-03-20 |
| 1164575320 | Central Convalescent Hospital of Glendale Inc | Skilled Nursing Facility | 525 S Central Ave, Glendale, CA 91204-2006 | 2007-01-19 |
| 1154474302 | Dakota Medical Inc. | Skilled Nursing Facility | 409 W Glenoaks Blvd, Glendale, CA 91202-2916 | 2007-01-19 |
| 1306959846 | Elms Sanitarium Inc | Skilled Nursing Facility | 212 W Chevy Chase Dr, Glendale, CA 91204-2318 | 2006-08-17 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on BROADWAY MANOR CARE CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.