LA MIRADA HEALTCHARE LLC (NPI# 1740684380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740684380 |
| Entity Type | Organization |
| Organization Name | LA MIRADA HEALTCHARE LLC |
| Practice Address |
11926 La Mirada Blvd La Mirada CA 90638-1303 |
| Mailing Address |
11440 Ventura Blvd Ste 200 Studio City CA 91604-3154 |
| Practice Telephone | 5629437156 |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |
| Authorized Official Name | MICHAEL GASTWIRTH (OWNER) |
| Authorized Official Telephone | 8189856600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
11926 LA MIRADA BLVD |
| City | LA MIRADA |
| State | CA |
| Zip Code | 90638-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043251077 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 11926 La Mirada Blvd, La Mirada, CA 90638-1303 | 2006-06-09 |
| 1639780257 | Erik Fernando Trujillo | Physical Therapy Assistant | 11926 La Mirada Blvd, La Mirada, CA 90638-1303 | 2020-08-17 |
| 1669860235 | Eileen Dizon | Physical Therapist | 11926 La Mirada Blvd, La Mirada, CA 90638-1303 | 2015-01-05 |
| 1255742904 | La Mirada Healthcare, LLC | Skilled Nursing Facility | 11926 La Mirada Blvd, La Mirada, CA 90638-1303 | 2014-05-15 |
| 1194921882 | Leslie Reginio Zacarias | Skilled Nursing Facility | 11926 La Mirada Blvd, La Mirada, CA 90638-1303 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972144095 | Amanda Connell | Counselor | 13710 La Mirada Blvd., Straight Talk, La Mirada, CA 90638 | 2019-09-30 |
| 1679054894 | James Kim | Occupational Therapist | 11926 La Mirada Blvd., La Mirada, CA 90638 | 2018-08-25 |
| 1780163915 | Complete Spine and Joint Center Inc | Chiropractor | 15112 Rosecrans Ave, La Mirada, CA 90638 | 2018-08-08 |
| 1124520606 | Meredith Narcisse | Counselor | Aegis Treatment Center 14240 Imperial Hwy, La Mirida, CA 90638 | 2018-03-01 |
| 1336685114 | Dorina Hamilton | Counselor | 14240 E. Imperial Hwy., La Mirada, CA 90638 | 2017-01-17 |
| 1497201768 | Blm Pharmacy Inc | Pharmacy | 12675 La Mirada Blvd., Suite 100, La Mirada, CA 90638 | 2016-08-28 |
| 1972954535 | Wendy Tran | Dentist | 12265 La Mirada Blvd, La Mirada, CA 90638 | 2016-06-24 |
| 1962851410 | Amy Bender | Counselor | 14240 Imperial Highway, La Mirada, CA 90638 | 2016-06-06 |
| 1699137430 | Andrea Lauren Smith | Chiropractor | 15651 East Imperial Hwy Ste 100, La Mirada, CA 90638 | 2016-03-22 |
| 1750797098 | Napoleon Tiquia | General Practice | 12049 Hartdale Avenue, La Mirada, CA 90638 | 2014-07-08 |
| Find all providers in zip 90638 | ||||
| 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 |
|---|---|---|---|---|
| 1043251077 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 11926 La Mirada Blvd, La Mirada, CA 90638-1303 | 2006-06-09 |
| 1538107297 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 12200 La Mirada Blvd, La Mirada, CA 90638-1306 | 2006-06-03 |
| 1386270916 | Southern California Specialty Care, LLC | Skilled Nursing Facility | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2020-03-16 |
| 1548891971 | Southern California Specialty Care, LLC | Skilled Nursing Facility | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2020-02-04 |
| 1255742904 | La Mirada Healthcare, LLC | Skilled Nursing Facility | 11926 La Mirada Blvd, La Mirada, CA 90638-1303 | 2014-05-15 |
| 1194921882 | Leslie Reginio Zacarias | Skilled Nursing Facility | 11926 La Mirada Blvd, La Mirada, CA 90638-1303 | 2007-06-21 |
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|---|---|---|---|---|
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| 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 |
| Find all providers with the same taxonomy | ||||
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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.