Silverscreen Healthcare

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

920000036 Issued in CA

Legal business name

SILVERSCREEN HEALTHCARE

Practice address

10830 Oxnard St
N Hollywood, CA 91606-5021

Phone

(818) 763-8247

Fax

(818) 762-8279

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Marylynn Mahan

Title

Chief Financial Officer

Phone

(909) 987-7735

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• golden state colonial convalescent hospital Doing business as

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1124134572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10830 OXNARD ST",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916065021",
            "telephone_number": "818-763-8247",
            "fax_number": "818-762-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 OXNARD ST",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916065021",
            "telephone_number": "818-763-8247",
            "fax_number": "818-762-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERSCREEN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "MARYLYNN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-987-7735"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18128H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "golden state colonial convalescent hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in N Hollywood, CA
• Providers in N Hollywood, 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 14, 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.