BEVERLY GLEN CONGREGATE, INC. (NPI# 1457715179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457715179 |
| Entity Type | Organization |
| Organization Name | BEVERLY GLEN CONGREGATE, INC. |
| Practice Address |
1200 North Beverly Glen Blvd. Bel Air CA 90077 |
| Practice Telephone | 4243715060 |
| Practice Fax Number | 4243715060 |
| Mailing Telephone | 4243715060 |
| Mailing Fax Number | 4243715060 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |
| Authorized Official Name | VIKTORIA MICHELLE KIRAKOSIAN (OWNER) |
| Authorized Official Telephone | 3103090959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CA | Nursing & Custodial Care Facilities |
| Street Address |
1200 NORTH BEVERLY GLEN BLVD. |
| City | BEL AIR |
| State | CA |
| Zip Code | 90077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366909368 | Karma Cbas Inc | Clinic/Center | 1171 Chantilly Rd, Bel Air, CA 90077 | 2019-02-26 |
| 1356542062 | Faranak Daravi Nosratian | Dentist | 1234 Bel Air Road, Los Angeles, CA 90077 | 2007-05-30 |
| 1386774131 | Joanna B Rosoff | Psychologist | 2934 1/2 Beverly Glen Circle #179, Bel Air, CA 90077 | 2007-03-07 |
| 1457384521 | Helen Horn Fincher | Dermatology | 100 Ucla Medical Plaza, Suite 590, Los Angeles, CA 90077 | 2006-07-09 |
| 1487111480 | Shahin Abrishamchian | Clinic/Center | 1171 Chantilly Rd, Bel Air, CA 90077-1300 | 2019-02-26 |
| 1356601322 | Chrissy Y Hsieh | Family Medicine | 2431 Buckingham Ln, Los Angeles, CA 90077-1335 | 2012-05-23 |
| 1821345034 | Susan Gardin | Counselor | 2279 Weybridge Ln, Los Angeles, CA 90077-1343 | 2012-08-07 |
| 1831664820 | Foot and Ankle Care Center, Inc. | Podiatrist | 15531 Aqua Verde Dr, Los Angeles, CA 90077-1503 | 2018-10-05 |
| 1407246408 | Richard Guest Md, A Professional Medical Corporation | Surgery | 15478 Duomo Via St, Los Angeles, CA 90077-1515 | 2015-01-28 |
| 1154446409 | Roslyn Menitoff | Social Worker | 15131 Mulholland Dr, Los Angeles, CA 90077-1618 | 2007-03-19 |
| Find all providers in zip 90077 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336478411 | Brothers' Assisted Living LLC | Skilled Nursing Facility | 144 N. Hickory Ave, Bel Air, MD 21014 | 2009-12-18 |
| 1134240724 | Ssc Bel Air Operating Company LLC | Skilled Nursing Facility | 410 E Macphail Rd, Bel Air, MD 21014-4410 | 2007-04-02 |
| 1265433528 | Lorien Harford, Inc | Skilled Nursing Facility | 1909 Emmorton Rd, Bel Air, MD 21015-6256 | 2005-08-09 |
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| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
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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.