DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOUTH FORK HEALTHCARE, LLC

MEDICARE: SOUTH FORK HEALTHCARE, 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 Facility

General Provider Information

NPI Number : 1801827738
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH FORK HEALTHCARE, LLC
Provider Business Mailing Address
First Line : 5400 FOUNTAIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-1007
Country : US
Telephone Number : 323-461-4301
Fax Number : 323-461-2784
Provider Business Practice Location Address
First Line : 5400 FOUNTAIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-1007
Country : US
Telephone Number : 323-461-4301
Fax Number : 323-461-2784
Authorized Official
Title or Position : AR DIRECTOR
Name : SHEILAH GRIER
Credential :
Telephone Number : 323-461-4301
Provider Enumeration Date : 07/06/2006
Last Update Date : 08/12/2016

Similar Medicare Providers

1710975396 — GMPH CORPORATION
Practice Location Address:
5400 FOUNTAIN AVE
LOS ANGELES, CA
90029-1007
Practice Phone: 323-461-4301
Practice Fax: 323-461-2784
1770609547 — DR. SHIHO TAMAI THERIOT DDS
Practice Location Address:
5400 FOUNTAIN AVE
LOS ANGELES, CA
90029-1007
Practice Phone: 323-461-4301
Practice Fax:
1902270960 — REFUGE RECOVERY HOUSE
Practice Location Address:
1007 MANZANITA ST
LOS ANGELES, CA
90029-3011
Practice Phone: 323-787-7077
Practice Fax:
1659738201 — SERRANO HEALTHCARE, LLC
Practice Location Address:
5400 FOUNTAIN AVE
LOS ANGELES, CA
90029-1007
Practice Phone: 323-461-4301
Practice Fax: 323-461-2784
1174160196 — MARY ABARQUEZ
Practice Location Address:
5400 FOUNTAIN AVE
LOS ANGELES, CA
90029-1007
Practice Phone: 323-461-4301
Practice Fax:
1699313247 — JENNILYN GONZALES
Practice Location Address:
5400 FOUNTAIN AVE
LOS ANGELES, CA
90029-1007
Practice Phone: 323-461-4301
Practice Fax:

Directions to “SOUTH FORK HEALTHCARE, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.