GRANCELL VILLAGE OF THE LOS ANGELES (NPI# 1265617823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265617823 |
| Entity Type | Organization |
| Organization Name | GRANCELL VILLAGE OF THE LOS ANGELES |
| Other Organization Name | JOYCE EISENBURG KEEFER MEDICAL CENTER PHARMACY |
| Practice Address |
7150 Tampa Ave 1st Floor Reseda CA 91335 |
| Mailing Address |
7150 Tampa Ave 1st Floor Reseda CA 91335-3700 |
| Practice Telephone | 8187585017 |
| Practice Fax Number | 8187742430 |
| Mailing Telephone | 8187585017 |
| Mailing Fax Number | 8187742430 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2018-05-25 |
| Authorized Official Name | BOB SHMAEFF (DIRECTOR OF PHARMACY SERVICES) |
| Authorized Official Telephone | 8186545521 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
MSP48566 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2113017 | 01 |
| Other Name | Type Code |
|---|---|
| JOYCE EISENBURG KEEFER MEDICAL CENTER PHARMACY | Doing Business As Name - Organization |
| Street Address |
7150 TAMPA AVE 1ST FLOOR |
| City | RESEDA |
| State | CA |
| Zip Code | 91335 |
| 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 |
| 1710594643 | Rachel Kamalei Stone | Pharmacist | 7150 Tampa Ave, Reseda, CA 91335-3700 | 2020-09-24 |
| 1487296422 | Carol Jean Owen | Psychologist | 7150 Tampa Ave, Reseda, CA 91335-3700 | 2019-10-10 |
| 1699247379 | Jaime Levy Rothstein | Massage Therapist | 7150 Tampa Ave, Reseda, CA 91335-3700 | 2018-12-19 |
| 1881186153 | Steven Schwartz | Social Worker | 7150 Tampa Ave, Reseda, CA 91335-3700 | 2018-06-03 |
| 1962862110 | Los Angeles Jewish Home Ipa | Internal Medicine | 7150 Tampa Ave, Reseda, CA 91335-3700 | 2016-03-01 |
| 1760847800 | Ravid Avraham M.d., Inc. | Physical Medicine & Rehabilitation | 7150 Tampa Ave, Reseda, CA 91335-3700 | 2015-12-16 |
| 1942643713 | Sean Jamison Boucher | Pharmacist | 7150 Tampa Ave, Reseda, CA 91335-3700 | 2013-04-11 |
| 1114287778 | Brandman Centers for Senior Care, Inc | PACE Provider Organization | 7150 Tampa Ave, Reseda, CA 91335-3700 | 2012-05-16 |
| 1538338793 | Grancell Village of The Los Angeles Jewish Home for The Aging | Psychiatric Hospital | 7150 Tampa Ave, Reseda, CA 91335-3700 | 2008-02-21 |
| 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 | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235523093 | Canby Care Inc | Pharmacy | 15333 Sherman Way, Reseda, CA 91135-4425 | 2015-03-19 |
| 1487681631 | Grancell Village of The Los Angeles Jewish Home for The Aging | Pharmacy | 7150 Tampa Ave, Reseda, CA 91335-3700 | 2006-06-26 |
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|---|---|---|---|---|
| 1508465873 | Nskape Inc | Pharmacy | 6780 Indiana Ave Ste 145, Riverside, CA 92506-4270 | 2020-10-19 |
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| 1356951370 | Valley Scripts | Pharmacy | 1150 W Robinhood Dr Ste 2b, Stockton, CA 95207-5630 | 2020-08-04 |
| 1518585587 | Asr Health Inc. | Pharmacy | 12677 Hesperia Rd Ste 180, Victorville, CA 92395-7754 | 2020-07-07 |
| 1619594660 | Burts Specialty Pharmacy | Pharmacy | 2628 Conejo Center Dr, Thousand Oaks, CA 91320-1407 | 2020-06-25 |
| 1972128676 | Maggie's Pharmacy Inc | Pharmacy | 2315 Kuehner Dr Ste 108, Simi Valley, CA 93063-3960 | 2020-06-09 |
| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1669019113 | Shanzo Inc | Pharmacy | 6255 University Ave Ste A1, San Diego, CA 92115-5727 | 2019-12-03 |
| 1265077283 | Western Pharmacy Group LLC | Pharmacy | 610 Gateway Center Way Ste H-i, San Diego, CA 92102-4533 | 2019-11-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
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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.