Blythe Ventures, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BLYTHE VENTURES, INC

Practice address

3232 E Artesia Blvd
Long Beach, CA 90805-2811

Phone

(562) 422-9219

NPI assigned

Oct 5, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Bowen

Title

Administrator

Phone

(562) 422-9219

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Windsor Gardens Convalescent Center of Long Beach Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1013904879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 E ARTESIA BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908052811",
            "telephone_number": "562-422-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 E ARTESIA BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908052811",
            "telephone_number": "562-422-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLYTHE VENTURES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-422-9219"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC90061G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Gardens Convalescent Center of Long Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blueprint Behavior Services
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• Natalia Bluford, LVN
• Denis Blumenthal, RPH
• Kayla Blunt
• Blythe/Windsor Country Park Healthcare Center, LLC
• BMG Inc
• Rena Bo
• Alfred Jameson III Boatwright
• Sara Lynne Boblak

• Skilled Nursing Facility in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.