WILSHIRE VISTA MANOR


Address: 1015 S Orange Grove Ave, Los Angeles, CA 90019-6510
Phone: 3239338271

WILSHIRE VISTA MANOR (NPI# 1427253319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427253319
Entity Type Organization
Organization Name WILSHIRE VISTA MANOR
Practice Address 1015 S Orange Grove Ave
Los Angeles
CA 90019-6510
Practice Telephone 3239338271
Practice Fax Number 3239338273
Mailing Telephone 3239338271
Mailing Fax Number 3239338273
Enumeration Date 2007-06-19
Last Update Date 2020-08-22
Authorized Official Name MRS. SIMIN TEHRANI (ADMINISTRATOR)
Authorized Official Telephone 3239338271
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility CA Nursing & Custodial Care Facilities

Office Location

Street Address 1015 S ORANGE GROVE AVE
City LOS ANGELES
State CA
Zip Code 90019-6510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558717934 New Home for Me, Inc Assisted Living Facility 1015 S Orange Grove Ave, Los Angeles, CA 90019-6510 2016-05-04
1073767273 Brokhim, LLC Custodial Care Facility 1015 S Orange Grove Ave, Los Angeles, CA 90019-6510 2008-11-14

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1285158154 Vanessa A. Myrie Social Worker 5562 Packard St., Los Angeles, CA 90019 2017-08-01
1093241309 Hamburger Home Community/Behavioral Health 4066 W. 17th Street, Los Angeles, CA 90019 2017-05-05
1639614779 Jung Ho Kang Acupuncturist 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 2016-12-28
1912353491 Sung Won Lee Acupuncturist 4027 W. Pico Bl., Los Angeles, CA 90019 2016-05-13
1497188528 Sfvcmhc Community/Behavioral Health 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 2013-08-13
1467890160 Denise Breheny Lactation Consultant, Non-RN 1053 Carmona Ave., Los Angeles, CA 90019 2013-06-05
1336483122 Nancy Denise - Latten Davidson Student in an Organized Health Care Education/Training Program 4073-75 West Pico Blvd, Los Angeles, CA 90019 2012-11-16
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City LOS ANGELES
Zip Code 90019

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Dataset Information

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.

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