BORIS MANAGEMENT CORP (NPI# 1407230246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407230246 |
| Entity Type | Organization |
| Organization Name | BORIS MANAGEMENT CORP |
| Other Organization Name | ATWATER VILLAGE SOUTH |
| Practice Address |
3454 Perlita Ave Los Angeles CA 90039-1932 |
| Practice Telephone | 3236656893 |
| Practice Fax Number | 3236585533 |
| Mailing Telephone | 3236656893 |
| Mailing Fax Number | 3236585533 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. BORIS SKUTATOVICH (PRESIDENT) |
| Authorized Official Telephone | 3236102841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 197608929 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Atwater Village South | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407230162 | Boris Management Corp | Assisted Living Facility | 654 Lillian Way, Los Angeles, CA 90004-1108 | 2015-07-13 |
| Street Address |
3454 PERLITA AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90039-1932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942434808 | T Michael,llc | Assisted Living Facility | 3454 Perlita Ave, Los Angeles, CA 90039-1932 | 2009-05-07 |
| 1538542360 | Boris Skuratovich | Assisted Living Facility | 3454 Perlita Ave, Los Angeles, CA 90039-1932 | 2015-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891298642 | Shlomit Yelin-arber | Marriage & Family Therapist | 3401 Glendale Blvd Rm 2, Los Angeles, CA 90039 | 2018-03-16 |
| 1306385646 | Robert Dao | Pharmacist | 11115 S Main St, Los Angeles, Ca, Los Angeles, CA 90039 | 2017-02-20 |
| 1528437951 | Marcos Farias | Licensed Vocational Nurse | 3108 Hollydale Drive Apt 102, Los Angeles, CA 90039 | 2015-09-16 |
| 1578962312 | Alexandria Trubatisky | Nurse Practitioner | 3026 Casitas Ave, Los Angeles, CA 90039 | 2014-08-18 |
| 1780003350 | Amanda Cohen | Acupuncturist | 3036 Glendale Blvd., Los Angeles, CA 90039 | 2014-04-10 |
| 1710231568 | Alan Russell Hedman | Counselor | 3352 Larga Ave, Los Angeles, CA 90039 | 2012-11-01 |
| 1427317486 | Christopher Peabody | Emergency Medicine | 1200 North State Street Room 1011, Los Angeles, CA 90039 | 2012-05-11 |
| 1447529359 | Janein Chavez | Marriage & Family Therapist | 3111 Los Feliz Blvd Ste 205, Los Angeles, CA 90039 | 2011-12-21 |
| 1265727358 | Erzsebet Olah | Licensed Vocational Nurse | 2586 Lake-view Ave, Los Angeles, CA 90039 | 2011-06-16 |
| 1750691168 | Sharon Furman | Specialist | 3147 Glenmanor Place, 145d, Los Angeles, CA 90039 | 2010-10-19 |
| Find all providers in zip 90039 | ||||
| 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 | 90039 |
Please comment or provide details below to improve the information on BORIS MANAGEMENT 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.