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Contact Information

KEIRO NURSING HOME
2221 LINCOLN PARK AVE
LOS ANGELES, CA90031
 Phone: 323-276-5700
 Fax: 323-276-5732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for KEIRO NURSING HOME

NPI Number 1487754297
LBN Legal business name KEIRO NURSING HOME
Authorized official SHAWN MIYAKE - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2006
Last updated 07/11/2013 - About 13 years ago
Identifiers
CA License # 970000059
CA Medicaid LTC55438F
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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