MEDICARE: EL MONTE HEALTHCARE CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1346011509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL MONTE HEALTHCARE CENTER, LLC

Provider Business Mailing Address
First Line	:	3938 COGSWELL RD
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-2404
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3938 COGSWELL RD
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-2404
Country	:	US
Telephone Number	:	626-401-1557
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. MORDECHAI WERTHEIMER
Credential	:
Telephone Number	:	610-457-9593

Provider Enumeration Date	:	01/15/2024
Last Update Date	:	01/15/2024

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