PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA (NPI# 1477647444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477647444 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA |
| Other Organization Name | PROVIDENCE ST. ELIZABETH CARE CENTER |
| Practice Address |
10425 Magnolia Blvd North Hollywood CA 91601-4109 |
| Practice Telephone | 8189803872 |
| Mailing Telephone | 8189803872 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-04-08 |
| Authorized Official Name | MR. NEIL SILVERSTEIN (ADMINISTRATOR) |
| Authorized Official Telephone | 8189803872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 920000070 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT05192H | 05 |
| Other Name | Type Code |
|---|---|
| Providence St. Elizabeth Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241541 | Providence Health System - Southern California | Community/Behavioral Health | 1386 W 7th St # A, San Pedro, CA 90732-3517 | 2018-07-02 |
| 1770639809 | Providence Health System - Southern California | Skilled Nursing Facility | 1322 W 6th St, San Pedro, CA 90732-3501 | 2007-01-25 |
| 1700808383 | Providence Health System - Southern California | Skilled Nursing Facility | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2006-07-24 |
| 1821019514 | Providence Health System - Southern California | Rehabilitation Unit | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-21 |
| 1902824758 | Providence Health System - Southern California | Rehabilitation Unit | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2006-07-18 |
| 1669490819 | Providence Health System - Southern California | Rehabilitation Unit | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2006-07-17 |
| 1154349371 | Providence Health System - Southern California | Psychiatric Unit | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-17 |
| 1750309837 | Providence Health System - Southern California | Skilled Nursing Facility | 11600 Indian Hills Rd, Building A, Mission Hills, CA 91345-1225 | 2006-07-17 |
| 1477587632 | Providence Health System - Southern California | General Acute Care Hospital | 15031 Rinaldi St, Mission Hills, CA 91345 | 2006-07-11 |
| 1336173269 | Providence Health System - Southern California | General Acute Care Hospital | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2006-07-10 |
| Street Address |
10425 MAGNOLIA BLVD |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91601-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942711825 | Geoffrey Ryan | Counselor | 5002 Tujunga Ave. #303, North Hollywood, CA 91601 | 2017-10-18 |
| 1508305772 | Melody Zara | Acupuncturist | 5257 Vineland Ave., North Hollywood, CA 91601 | 2017-02-21 |
| 1013455500 | Chandler Treatment LLC | Preferred Provider Organization | 5503 Cahuenga Blvd Suite 201, Northhollywood, CA 91601 | 2017-02-06 |
| 1770021230 | Bairat Shasi | Nurse Practitioner | 5251 Vineland Ave Apt 514, North Hollywood, CA 91601 | 2017-02-05 |
| 1194187609 | A&m Miracle Home Health Care, Inc | Home Health | 10545 Burbank Blvd., Suite 127, North Hollywood, CA 91601 | 2016-03-23 |
| 1053771329 | Suzette Galvez | Case Manager/Care Coordinator | 11415 Albers St Apt 4, Noho, CA 91601 | 2016-03-01 |
| 1467835025 | Loyalty Home Health, Inc. | Home Health | 10545 Burbank Blvd Suite 117, North Hollywood, CA 91601 | 2015-07-01 |
| 1689063646 | Jane Edith Wilson | Counselor | 11027 Bubank Blvd, North Hollywood, CA 91601 | 2015-01-14 |
| 1083022206 | Mulberry Leaf Acupuncture & Herbs | Acupuncturist | 5257 Vineland Ave, North Hollywood, CA 91601 | 2014-07-31 |
| 1306256813 | Confidence & Care Hospice, Inc. | Hospice Care, Community Based | 10523 Burbank Blvd Suite 221, North Hiollywood, CA 91601 | 2014-05-06 |
| Find all providers in zip 91601 | ||||
| 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 |
|---|---|---|---|---|
| 1043709041 | St. Raphael Congregate Health Living, Inc. | Skilled Nursing Facility | 6016 Bellaire Ave, North Hollywood, CA 91606-4406 | 2018-05-04 |
| 1730613266 | Valley View Congregate Living Facility, Inc. | Skilled Nursing Facility | 6451 Gilson Ave, North Hollywood, CA 91606-1222 | 2017-04-11 |
| 1306206255 | Vital Care, Inc. | Skilled Nursing Facility | 12765 Strathern St, North Hollywood, CA 91605-1108 | 2016-03-03 |
| 1316337421 | Family Circle Clhf,inc. | Skilled Nursing Facility | 8061 Saint Clair Ave, North Hollywood, CA 91605-1322 | 2015-01-27 |
| 1306241070 | Alcove Congregate Living, Inc. | Skilled Nursing Facility | 6509 Alcove Ave, North Hollywood, CA 91606-1106 | 2014-10-23 |
| 1851720486 | Congregate Living Health Facility, Inc. | Skilled Nursing Facility | 5440 Tujunga Ave, North Hollywood, CA 91601-4967 | 2013-11-04 |
| 1417297169 | Ben Congregate Living Inc | Skilled Nursing Facility | 6622 Ben Ave, North Hollywood, CA 91606-1511 | 2013-02-17 |
| 1114998648 | Chandler Convalescent Hospital, Inc | Skilled Nursing Facility | 5335 Laurel Canyon Blvd, North Hollywood, CA 91607-2711 | 2006-02-01 |
| 1689653289 | 13000 Victory Boulevard, LLC | Skilled Nursing Facility | 13000 Victory Blvd, North Hollywood, CA 91606-2926 | 2006-01-11 |
| 1902895972 | Golden Care, Inc. | Skilled Nursing Facility | 6120 Vineland Ave, North Hollywood, CA 91606-4914 | 2005-10-20 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91601 |
Please comment or provide details below to improve the information on PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA.
| 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.