MANCHESTER MANOR CONVALESCENT HOSPITAL (NPI# 1134101348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134101348 |
| Entity Type | Organization |
| Organization Name | MANCHESTER MANOR CONVALESCENT HOSPITAL |
| Practice Address |
837 W Manchester Ave Los Angeles CA 90044-4913 |
| Practice Telephone | 3237531789 |
| Practice Fax Number | 3237530400 |
| Mailing Telephone | 3237531789 |
| Mailing Fax Number | 3237530400 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | MRS. DELORES J JOHNSON RN (OWNER/DIRECTOR OF NURSING) |
| Authorized Official Telephone | 3237531789 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 970000032 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC PROVIDER NUMBER | LTC55273F | 01 |
| Street Address |
837 W MANCHESTER AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90044-4913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386135671 | Park Professional Dental Corp | Dentist | 600 W Manchester Ave Ste 2, Los Angeles, CA 90044 | 2018-05-23 |
| 1851831218 | Latisha Samantha Carter | Licensed Vocational Nurse | 521 W 97th St., Los Angeles, CA 90044 | 2017-03-06 |
| 1669928230 | Travel & Ground Network Inc. | Non-emergency Medical Transport (VAN) | 605 West 113 Th. Street, Los Angeles, CA 90044 | 2016-09-01 |
| 1295100642 | Scharp | Community/Behavioral Health | 8836 Vermont Ave, Los Angeles, CA 90044 | 2015-12-10 |
| 1356714851 | Euna Lee | Pharmacist | 5822 S Vermont Avenue, Los Angeles, CA 90044 | 2015-11-05 |
| 1518384338 | Kiniko Willingham | Social Worker | 1050 W 91st St, Los Angles, CA 90044 | 2014-03-19 |
| 1619211422 | Los Angeles Christian Health Centers | Clinic/Center | 8511 1/2 Vermont Street, Los Angeles, CA 90044 | 2012-11-16 |
| 1891047510 | Yvonne Henderson | Marriage & Family Therapist | 8730 S. Vermont Ave, Los Angeles, CA 90044 | 2012-10-04 |
| 1669722534 | Diana Gutierrez | Counselor | 9001 S. Vermont Ave., Los Angeles, CA 90044 | 2012-09-18 |
| 1720343304 | Rocio Cortez | Counselor | 90001 South Vermont Ave, Los Angeles, CA 90044 | 2012-07-10 |
| Find all providers in zip 90044 | ||||
| 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 | 90044 |
Please comment or provide details below to improve the information on MANCHESTER MANOR CONVALESCENT HOSPITAL.
| 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.