MISHKAN SENIOR CARE CORP. (NPI# 1205298353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205298353 |
| Entity Type | Organization |
| Organization Name | MISHKAN SENIOR CARE CORP. |
| Other Organization Name | LEISURE VILLAGE |
| Practice Address |
6230 Wilshire Blvd Ste 2070 Los Angeles CA 90048-5138 |
| Practice Telephone | 8183787422 |
| Mailing Telephone | 8183787422 |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2016-03-27 |
| Authorized Official Name | MR. JUSTIN MICHAEL LEVI (VICE PRESIDENT) |
| Authorized Official Telephone | 8183787422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 197608546 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Leisure Village | Doing Business As Name - Organization |
| Street Address |
6230 WILSHIRE BLVD STE 2070 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| 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 |
| 1629439070 | Ymg Residential Care, Inc. | Assisted Living Facility | 216 N Burlington Ave, Los Angeles, CA 90026-5420 | 2016-03-13 |
| 1366816142 | S.m. Healthcare, Inc. | Assisted Living Facility | 1423 S Manhattan Pl, Los Angeles, CA 90019-4705 | 2015-11-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on MISHKAN SENIOR CARE CORP..
| 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.