JHA GERIATRIC SERVICES (NPI# 1811990377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811990377 |
Entity Type | Organization |
Organization Name | JHA GERIATRIC SERVICES |
Other Organization Name | GRANCELL VILLAGE CLINIC |
Practice Address |
7150 Tampa Ave Reseda CA 91335 |
Mailing Address |
7150 Tampa Ave Reseda CA 91335-3700 |
Practice Telephone | 8187743000 |
Mailing Telephone | 8187743000 |
Enumeration Date | 2005-05-27 |
Last Update Date | 2018-07-02 |
Authorized Official Name | MARY M FORREST (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 8187743208 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 960000819 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CMM70542F | 05 |
Other Name | Type Code |
---|---|
Grancell Village Clinic | Other Name - Individual/Organization |
Street Address |
7150 TAMPA AVE |
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 |
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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 | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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---|---|---|---|---|
1861988487 | Healthcaresync Inc | Clinic/Center | 8228 Chamberlain Ln, Reseda, CA 91335-1053 | 2018-07-06 |
1881710887 | Tarzana Treatment Centers, Inc. | Clinic/Center | 7101 Baird Ave, Reseda, CA 91335-4150 | 2007-03-21 |
1447615356 | Esmat Moobed Zakeri | Clinic/Center | 18305 Sherman Way # 31, Reseda, CA 91335-4425 | 2015-12-18 |
1861629222 | Reseda Family Medicine Clinic and Multi-specialty Group | Clinic/Center | 6830 Reseda Blvd, Reseda, CA 91335 | 2009-06-12 |
1831264092 | Jha Geriatric Services, Inc | Clinic/Center | 18855 Victory Blvd, Reseda, CA 91335 | 2006-11-22 |
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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.