Adat Shalom Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197602923 Issued in CA

Legal business name

ADAT SHALOM MANOR

Practice address

6624 Sale Ave
West Hills, CA 91307-3628

Phone

(818) 704-9090

Fax

(818) 704-9696

NPI assigned

Jan 27, 2010

Organization subpart

Yes

Parent organization

ADAT SHALOM BOARD AND CAREAs reported in NPPES

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

Authorized official

Name

Mrs. Angelica Reingold

Title

Owner/Administrator

Phone

(818) 704-9090

Specialties & licenses 1

Addresses

Part of

Adat Shalom Manor

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Stuart Ullman, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Woodland Hills, CA
  • NPI 1114055654
  NPD (past)

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1023349271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 SALE AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073628",
            "telephone_number": "818-704-9090",
            "fax_number": "818-704-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 SALE AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073628",
            "telephone_number": "818-704-9090",
            "fax_number": "818-704-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAT SHALOM MANOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAT SHALOM BOARD AND CARE",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "REINGOLD",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "818-704-9090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197602923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in West Hills, CA
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.