Hancock Park Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

970000011 Issued in CA

Legal business name

HANCOCK PARK REHABILITATION CENTER, LLC

Practice address

505 N la Brea Ave
Los Angeles, CA 90036-2015

Phone

(323) 937-4860

Fax

(323) 937-2807

NPI assigned

Nov 7, 2005

Organization subpart

Yes

Parent organization

SUMMIT CARE LLCAs reported in NPPES

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

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Rehabilitation Center on La Brea Doing business as

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1023099108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362015",
            "telephone_number": "323-937-4860",
            "fax_number": "323-937-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362015",
            "telephone_number": "323-937-4860",
            "fax_number": "323-937-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK PARK REHABILITATION CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2005-11-07",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06195H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rehabilitation Center on La Brea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Mamoru Hanami
• Daniella Hanasabzadeh
• Harui Hanataka
• Allegra Marisa Hanauer
• Hanbit Pain Therapy Center, Inc.
• Hancock Park Surgery Center, LLC
• Hilary Hancock, PSY.D.
• Joseph Hancock
• Maria Carlota G Hancock
• Daniel Lee Hancz, PHARMD

• Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, 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 27, 2016; 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.