ALEXANDRIA CARE CENTER LLC (NPI# 1760470736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760470736 |
| Entity Type | Organization |
| Organization Name | ALEXANDRIA CARE CENTER LLC |
| Other Organization Name | ALEXANDRIA CARE CENTER |
| Practice Address |
1515 N Alexandria Ave Los Angeles CA 90027-5203 |
| Practice Telephone | 3236601800 |
| Practice Fax Number | 3236600023 |
| Mailing Telephone | 3236601800 |
| Mailing Fax Number | 3236600023 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2016-01-26 |
| Authorized Official Name | MICHAEL T. BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684752 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT CARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 970000002 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT180000F | 05 |
| Other Name | Type Code |
|---|---|
| Alexandria Care Center | Doing Business As Name - Organization |
| Street Address |
1515 N ALEXANDRIA AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508351529 | Vannessa Mondejar Ocampo | Occupational Therapy Assistant | 1515 N Alexandria Ave, Los Angeles, CA 90027-5203 | 2018-06-22 |
| 1184167397 | Liza Kustantin | Occupational Therapist | 1515 N Alexandria Ave, Los Angeles, CA 90027-5203 | 2016-11-21 |
| 1215395694 | Rehabilitation Care Consultants Inc | Physical Medicine & Rehabilitation | 1515 N Alexandria Ave, Los Angeles, CA 90027-5203 | 2016-02-01 |
| 1437547866 | Pooja Mehta | Occupational Therapist | 1515 N Alexandria Ave, Los Angeles, CA 90027-5203 | 2015-01-08 |
| 1285022590 | Lucian Mazorra | Physical Therapy Assistant | 1515 N Alexandria Ave, Los Angeles, CA 90027-5203 | 2015-01-08 |
| 1578951851 | Matthew Watson | Physical Therapy Assistant | 1515 N Alexandria Ave, Los Angeles, CA 90027-5203 | 2015-01-08 |
| 1023294014 | Rebecca Lynn Thomann | Physical Therapist | 1515 N Alexandria Ave, Los Angeles, CA 90027-5203 | 2008-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| 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. |
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| 1780179770 | Bedside Gtube Replacement and Management | Skilled Nursing Facility | 10420 S Figueroa St, Los Angeles, CA 90003-4424 | 2018-06-22 |
| 1053852772 | Carehome Doctors, Inc | Skilled Nursing Facility | 501 S Oxford Ave Apt 17, Los Angeles, CA 90020-4228 | 2017-03-14 |
| 1124567334 | Pmnp Medical Services Inc | Skilled Nursing Facility | 433 S Lake St Apt 214, Los Angeles, CA 90057-2740 | 2017-02-21 |
| 1124566229 | Resource Connect Staffing, LLC | Skilled Nursing Facility | 3654 W 60th St, Los Angeles, CA 90043-2906 | 2017-02-08 |
| 1932658010 | Golden State Homes, Inc. | Skilled Nursing Facility | 1409 N Normandie Ave, Los Angeles, CA 90027-5817 | 2016-09-29 |
| 1952768491 | Ryan Stybel Optometry Inc | Skilled Nursing Facility | 8045 Emerson Ave, Los Angeles, CA 90045-1406 | 2016-01-27 |
| 1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
| 1922411735 | Avalon Post Acute LLC | Skilled Nursing Facility | 12029 Avalon Blvd, Los Angeles, CA 90061-2838 | 2014-06-09 |
| 1750633350 | Pasadena Meadows Nursing Center, Lp | Skilled Nursing Facility | 1141 S Beverly Dr, Floor 3, Los Angeles, CA 90035 | 2012-10-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
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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.