MEDICARE: AMERICARE ASSISTED LIVING

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1497581235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICARE ASSISTED LIVING

Provider Business Mailing Address
First Line	:	PO BOX 490
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90267-0490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8501 RAMSGATE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-4323
Country	:	US
Telephone Number	:	310-422-5364
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LEIA JOAQUIN
Credential	:
Telephone Number	:	310-422-5364

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	09/09/2024

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Directions to “AMERICARE ASSISTED LIVING ” Practice Location

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