T MICHAEL, LLC (NPI# 1124252085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124252085 |
| Entity Type | Organization |
| Organization Name | T MICHAEL, LLC |
| Other Organization Name | COUNTRY CLUB NORTH |
| Practice Address |
654 Lillian Way Los Angeles CA 90004-1108 |
| Mailing Address |
7316 Woodrow Wilson Dr Los Angeles CA 90046-1321 |
| Practice Telephone | 3238766370 |
| Practice Fax Number | 3239579792 |
| Mailing Telephone | 3238766370 |
| Mailing Fax Number | 3239579792 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |
| Authorized Official Name | MR. TIMOTHY M COURY SR. (PRESIDENT) |
| Authorized Official Telephone | 3238766370 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 197602852 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Country Club North | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356660732 | T Michael, LLC | Assisted Living Facility | 4107 Garden Ave, Los Angeles, CA 90039-1309 | 2010-05-24 |
| 1306070263 | T Michael, LLC | Assisted Living Facility | 3267 Country Club Dr, Los Angeles, CA 90019-3606 | 2009-05-07 |
| Street Address |
654 LILLIAN WAY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407230162 | Boris Management Corp | Assisted Living Facility | 654 Lillian Way, Los Angeles, CA 90004-1108 | 2015-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| Find all providers in zip 90004 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223935 | Commercial & Housing Support Aid | Assisted Living Facility | 120 - 122 East 24th Street, Los Angeles, CA 90011 | 2020-10-22 |
| 1891310181 | Kfs Management, Inc. | Assisted Living Facility | 2228 Westwood Blvd, Los Angeles, CA 90064-2018 | 2020-06-11 |
| 1336760446 | Eilat Day Care Inc | Assisted Living Facility | 1621 S Sherbourne Dr, Los Angeles, CA 90035-4414 | 2020-04-29 |
| 1720622269 | Beverly Hills Senior Care Facility Inc | Assisted Living Facility | 1470 S Robertson Blvd, Los Angeles, CA 90035-3402 | 2019-10-28 |
| 1528623949 | Beit Shalom Care, Inc | Assisted Living Facility | 1931 Preuss Rd, Los Angeles, CA 90034-1106 | 2019-05-01 |
| 1740748656 | Eilat Nahum | Assisted Living Facility | 1623 S Sherbourne Dr, Los Angeles, CA 90035-4414 | 2019-03-10 |
| 1053892232 | Melrose Villas, Inc | Assisted Living Facility | 823 N Poinsettia Pl, Los Angeles, CA 90046-7623 | 2018-08-24 |
| 1770039844 | D4, Inc. | Assisted Living Facility | 4541 N Figueroa St, Los Angeles, CA 90065-3026 | 2016-08-29 |
| 1205298353 | Mishkan Senior Care Corp. | Assisted Living Facility | 6230 Wilshire Blvd Ste 2070, Los Angeles, CA 90048-5138 | 2016-03-27 |
| 1629439070 | Ymg Residential Care, Inc. | Assisted Living Facility | 216 N Burlington Ave, Los Angeles, CA 90026-5420 | 2016-03-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
Please comment or provide details below to improve the information on T MICHAEL, LLC.
| 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.