EISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING (NPI# 1215930995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215930995 |
| Entity Type | Organization |
| Organization Name | EISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING |
| Other Organization Name | EISENBERG VILLAGE |
| Practice Address |
18855 Victory Blvd Reseda CA 91335-6445 |
| Practice Telephone | 8187743000 |
| Mailing Telephone | 8187743000 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | MS. MARY M FORREST (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8187749208 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 920000043 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT08013F | 05 |
| Other Name | Type Code |
|---|---|
| Eisenberg Village | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962612432 | Eisenberg Village of The Los Angeles Jewish Home for The Aging | Assisted Living Facility | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2007-05-23 |
| Street Address |
18855 VICTORY BLVD |
| City | RESEDA |
| State | CA |
| Zip Code | 91335-6445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255989208 | Thomas N Dao | Physical Therapist | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2019-09-03 |
| 1740724178 | Stevy Aswani | Speech-Language Pathologist | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2016-12-03 |
| 1366848335 | Noachim Marco | Internal Medicine | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2014-11-18 |
| 1821394883 | Asana Integrated Medical Group | Psychiatry & Neurology | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2011-02-08 |
| 1962612432 | Eisenberg Village of The Los Angeles Jewish Home for The Aging | Assisted Living Facility | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2007-05-23 |
| 1831264092 | Jha Geriatric Services, Inc | Clinic/Center | 18855 Victory Blvd, Reseda, CA 91335 | 2006-11-22 |
| 1831284207 | Isaac Vielma | Family Medicine | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2006-10-03 |
| 1093729824 | Lydia Kay Wilson | Nurse Practitioner | 18855 Victory Blvd, Attn: Billing Department, Reseda, CA 91335-6445 | 2006-07-28 |
| 1265477749 | Shahin Delkhah | Internal Medicine | 18855 Victory Blvd, Attn Billing Department, Reseda, CA 91335-6445 | 2006-06-18 |
| 1952383507 | Elizabeth Camara | Optometrist | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2005-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
| 1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
| 1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
| 1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
| 1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
| 1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
| Find all providers in zip 91335 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950163 | Grancell Village of The Los Angeles Jewish Home for The Aging | Nursing Facility/Intermediate Care Facility | 7150 Tampa Ave, Reseda, CA 91335-3700 | 2005-05-24 |
| 1750922423 | Joyko Ventures, Inc | Nursing Facility/Intermediate Care Facility | 7344 Etiwanda Ave, Reseda, CA 91335-3103 | 2019-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472707 | Hollywood Care Home, Inc. | Nursing Facility/Intermediate Care Facility | 13307 Stagg St, North Hollywood, CA 91605-1736 | 2020-06-22 |
| 1154944510 | Encourage Homes Inc. | Nursing Facility/Intermediate Care Facility | 9227 Cayuga Ave, Sun Valley, CA 91352-9135 | 2020-05-20 |
| 1831722255 | Laurel House Icf | Nursing Facility/Intermediate Care Facility | 226 N Laurel Ave, Upland, CA 91786-5936 | 2020-02-13 |
| 1588295224 | New Start Clhf's Independent Training Centers | Nursing Facility/Intermediate Care Facility | 19640 Bermuda St, Chatsworth, CA 91311-1908 | 2020-01-31 |
| 1467092015 | New Start Clhf's Independent Training Centers | Nursing Facility/Intermediate Care Facility | 10318 Laramie Ave, Chatsworth, CA 91311-2530 | 2020-01-12 |
| 1265070064 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St Ste B1, Upland, CA 91786-4576 | 2019-12-12 |
| 1427692128 | Cg Estepa Care Home 2, Inc. | Nursing Facility/Intermediate Care Facility | 12800 Thornberg Way, Rancho Cordova, CA 95742-7812 | 2019-11-05 |
| 1669022547 | Continuum Living, LLC | Nursing Facility/Intermediate Care Facility | 24343 Pawnee Trl, Moreno Valley, CA 92557-5033 | 2019-09-12 |
| 1194296566 | Magnifique Congregate Living Inc | Nursing Facility/Intermediate Care Facility | 1827 W Avenue K12, Lancaster, CA 93534-6235 | 2018-12-11 |
| 1063994408 | Sinai Congregate Living Facility | Nursing Facility/Intermediate Care Facility | 1759 Windermere Drive, Lancaster, CA 93534-5319 | 2018-09-01 |
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| 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.