FRONT PORCH COMMUNITIES OPERATING GROUP, LLC (NPI# 1194130005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194130005 |
| Entity Type | Organization |
| Organization Name | FRONT PORCH COMMUNITIES OPERATING GROUP, LLC |
| Other Organization Name | KINGSLEY MANOR |
| Practice Address |
1055 N Kingsley Dr Los Angeles CA 90029-1207 |
| Mailing Address |
800 N Brand Blvd 19th Floor Glendale CA 91203-1245 |
| Practice Telephone | 3236611128 |
| Practice Fax Number | 3236614121 |
| Mailing Telephone | 8182544100 |
| Mailing Fax Number | 8182544101 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |
| Authorized Official Name | ROBERTA JACOBSEN (PRESIDENT) |
| Authorized Official Telephone | 8187298100 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRONT PORCH COMMUNITIES AND SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 197608482 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Kingsley Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437556677 | Front Porch Communities Operating Group, LLC | Assisted Living Facility | 183 3rd Ave, Chula Vista, CA 91910-1822 | 2014-12-03 |
| Street Address |
1055 N KINGSLEY DR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396821971 | Front Porch Communities and Services | Assisted Living Facility | 1055 N Kingsley Dr, Los Angeles, CA 90029-1207 | 2006-10-27 |
| 1538416599 | Front Porch Communities Operating Group LLC | Skilled Nursing Facility | 1055 N Kingsley Dr, Los Angeles, CA 90029-1207 | 2012-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| 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 | 90029 |
Please comment or provide details below to improve the information on FRONT PORCH COMMUNITIES OPERATING GROUP, 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.