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NPI Code Detail

MEDICARE: SHARON CARE CENTER, LLC

MEDICARE: SHARON CARE 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
1314000000XSkilled Nursing Facility910000151CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487645214
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHARON CARE CENTER, LLC
Provider Business Mailing Address
First Line : 8167 W 3RD ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-4314
Country : US
Telephone Number : 323-655-2023
Fax Number : 323-655-2031
Provider Business Practice Location Address
First Line : 8167 W 3RD ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-4314
Country : US
Telephone Number : 323-655-2023
Fax Number : 323-655-2031
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : MICHAEL T. BERG
Credential :
Telephone Number : 505-468-4752
Provider Enumeration Date : 11/01/2005
Last Update Date : 01/27/2016

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Directions to “SHARON CARE CENTER, LLC ” Practice Location

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