EISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING (NPI# 1962612432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962612432 |
| Entity Type | Organization |
| Organization Name | EISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING |
| Other Organization Name | EISENBERG ALC |
| Practice Address |
18855 Victory Blvd Reseda CA 91335-6445 |
| Practice Telephone | 8187743000 |
| Mailing Telephone | 8187743000 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | MARY M FORREST (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8187749208 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 191201867 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RCF00009F | 05 |
| Other Name | Type Code |
|---|---|
| EISENBERG ALC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930995 | Eisenberg Village of The Los Angeles Jewish Home for The Aging | Nursing Facility/Intermediate Care Facility | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2005-05-24 |
| Street Address |
18855 VICTORY BLVD |
| City | RESEDA |
| State | CA |
| Zip Code | 91335-6445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930995 | Eisenberg Village of The Los Angeles Jewish Home for The Aging | Nursing Facility/Intermediate Care Facility | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2005-05-24 |
| 1255989208 | Thomas N Dao | Physical Therapist | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2019-09-03 |
| 1740724178 | Stevy Aswani | Speech-Language Pathologist | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2016-12-03 |
| 1366848335 | Noachim Marco | Internal Medicine | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2014-11-18 |
| 1821394883 | Asana Integrated Medical Group | Psychiatry & Neurology | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2011-02-08 |
| 1831264092 | Jha Geriatric Services, Inc | Clinic/Center | 18855 Victory Blvd, Reseda, CA 91335 | 2006-11-22 |
| 1831284207 | Isaac Vielma | Family Medicine | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2006-10-03 |
| 1093729824 | Lydia Kay Wilson | Nurse Practitioner | 18855 Victory Blvd, Attn: Billing Department, Reseda, CA 91335-6445 | 2006-07-28 |
| 1265477749 | Shahin Delkhah | Internal Medicine | 18855 Victory Blvd, Attn Billing Department, Reseda, CA 91335-6445 | 2006-06-18 |
| 1952383507 | Elizabeth Camara | Optometrist | 18855 Victory Blvd, Reseda, CA 91335-6445 | 2005-11-18 |
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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 | 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 |
|---|---|---|---|---|
| 1174984660 | Msb, Inc. | Assisted Living Facility | 7051 Rhea Ave, Reseda, CA 91335-4006 | 2016-03-11 |
| 1417216151 | Canby Retirement Corporation | Assisted Living Facility | 7324 Canby Ave, Reseda, CA 91335-3010 | 2012-05-15 |
| 1114335254 | Canby Retirement Corporation | Assisted Living Facility | 7324 Canby Ave, Reseda, CA 91335-3010 | 2014-07-31 |
| 1518177021 | Grancell Village of The Los Angeles Jewish Home for The Aging | Assisted Living Facility | 7150 Tampa Ave, Fiscal Dept, Reseda, CA 91335-3700 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588165 | Nana's Garden II | Assisted Living Facility | 25312 Ericson Way, Laguna Hills, CA 92653-5054 | 2020-11-03 |
| 1609476589 | Southbay Care Home, Inc. | Assisted Living Facility | 19917 Anza Avenue, Torrance, CA 90503-2005 | 2020-10-29 |
| 1821697434 | Global Regency Senior Care Services, LLC | Assisted Living Facility | 117 E 8th St, Long Beach, CA 90813-4397 | 2020-10-23 |
| 1689273419 | Pacifica Slo LLC | Assisted Living Facility | 475 Marsh St, San Luis Obispo, CA 93401-6108 | 2020-10-22 |
| 1871192682 | Pacifica Sfo LLC | Assisted Living Facility | 624 Laguna St, San Francisco, CA 94102-4217 | 2020-10-22 |
| 1528667367 | Pacifica Sierra Vista Lp | Assisted Living Facility | 13815 Rodeo Dr, Victorville, CA 92395-5600 | 2020-10-22 |
| 1992304737 | West Lyons Lp | Assisted Living Facility | 24305 Lyons Ave, Newhall, CA 91321-2344 | 2020-10-22 |
| 1619576451 | Pacifica Orange County LLC | Assisted Living Facility | 2619 Orange Ave, Costa Mesa, CA 92627-4630 | 2020-10-22 |
| 1720687551 | P San Leandro Lp | Assisted Living Facility | 348 W Juana Ave, San Leandro, CA 94577-3661 | 2020-10-22 |
| 1952900730 | Pacifica Daly LLC | Assisted Living Facility | 995 E Market St, Daly City, CA 94014-2168 | 2020-10-22 |
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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.