BEDSIDE GTUBE REPLACEMENT AND MANAGEMENT


Address: 10420 S Figueroa St, Los Angeles, CA 90003-4424
Phone: 3232004524

BEDSIDE GTUBE REPLACEMENT AND MANAGEMENT (NPI# 1780179770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780179770
Entity Type Organization
Organization Name BEDSIDE GTUBE REPLACEMENT AND MANAGEMENT
Practice Address 10420 S Figueroa St
Los Angeles
CA 90003-4424
Practice Telephone 3232004524
Mailing Telephone 3232004524
Enumeration Date 2018-06-22
Last Update Date 2018-06-22
Authorized Official Name MR. JOHN SANGMOAH (CEO/PRESIDENT)
Authorized Official Telephone 3232004524
Authorized Official Credential PA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Office Location

Street Address 10420 S FIGUEROA ST
City LOS ANGELES
State CA
Zip Code 90003-4424

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1356865810 Oscar Montes Jr. Social Worker 8220 San Pedro St., Los Angeles, CA 90003 2017-07-26
1619407483 Tonja Benetta Jordan Registered Nurse 5850 South Main St, Los Angeles, CA 90003 2017-06-14
1194254581 Janae Wilson Shepherd Registered Nurse 5850 S Main Street, Los Angeles, CA 90003 2017-06-08
1649709049 Eisha Eishawndra Purvis Registered Nurse 5850 S. Main Street, Los Angeles, CA 90003 2017-06-08
1689022477 Ladan Hariri Psychiatry & Neurology 1200 N.state St., Los Angeles, CA 90003 2016-06-02
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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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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
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City LOS ANGELES
Zip Code 90003

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Dataset Information

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.

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