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: GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING

MEDICARE: GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING
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
1313M00000XNursing Facility/Intermediate Care Facility920000013CA

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 : 1417950163
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING
Provider Business Mailing Address
First Line : 7150 TAMPA AVE
Second Line :
City : RESEDA
State : CA
Zip : 91335-3700
Country : US
Telephone Number : 818-774-3000
Fax Number :
Provider Business Practice Location Address
First Line : 7150 TAMPA AVE
Second Line :
City : RESEDA
State : CA
Zip : 91335-3700
Country : US
Telephone Number : 818-774-3000
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MS. MARY M FORREST
Credential :
Telephone Number : 818-774-3208
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/22/2016

Similar Medicare Providers

1538457924 — CAROLYN QUINN LCSW
Practice Location Address:
7150 TAMPA AVE
RESEDA, CA
91335-3700
Practice Phone: 818-774-8444
Practice Fax:
1487681631 — GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING
Practice Location Address:
7150 TAMPA AVE
RESEDA, CA
91335-3700
Practice Phone: 818-774-3000
Practice Fax:
1467480020 — DR. NALLINI GNANADESIGAN M.D.
Practice Location Address:
7150 TAMPA AVE
RESEDA, CA
91335-3700
Practice Phone: 818-757-4447
Practice Fax:
1932130861 — DR. RICK SMITH M.D.
Practice Location Address:
7150 TAMPA AVE
RESEDA, CA
91335-3700
Practice Phone: 818-757-4447
Practice Fax:
1972601037 — HANGNGA VU M.D.
Practice Location Address:
7150 TAMPA AVE
RESEDA, CA
91335-3700
Practice Phone: 818-774-3354
Practice Fax:
1902979552 — ANN C. KEREN-ZVI
Practice Location Address:
7150 TAMPA AVE
RESEDA, CA
91335-3700
Practice Phone: 818-774-3354
Practice Fax:

Directions to “GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING ” 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.