Los Feliz Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

970000041 Issued in CA

Legal business name

LOS FELIZ HEALTHCARE CENTER, LLC

Practice address

3002 Rowena Ave
Los Angeles, CA 90039-2005

Phone

(323) 666-1544

Fax

(323) 666-9584

NPI assigned

Feb 7, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl A Petterson

Title

VP Business Services

Phone

(323) 596-2145

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Country Villa Los Feliz Healthcare Center Doing business as

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1033458237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 ROWENA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392005",
            "telephone_number": "323-666-1544",
            "fax_number": "323-666-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 ROWENA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392005",
            "telephone_number": "323-666-1544",
            "fax_number": "323-666-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS FELIZ HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "PETTERSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP BUSINESS SERVICES",
        "authorized_official_telephone_number": "323-596-2145",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18588J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Villa Los Feliz Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Los Feliz Home Health Inc.
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• Patrick Losasso, CSCS, CPT
• Jeannine Losee

• 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 Feb 7, 2013; 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.