Marlinda Convalescent Hospital, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940000113 Issued in CA

Legal business name

MARLINDA CONVALESCENT HOSPITAL, INC

Doing business as

Bloomfield East

Practice address

3615 E Imperial Hwy
Lynwood, CA 90262-2652

Phone

(310) 638-6691

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Katherine Lance

Title

Ceo

Phone

(310) 638-6691

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bloomfield East Doing business as

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1184796765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623305",
            "telephone_number": "310-638-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622652",
            "telephone_number": "310-638-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLINDA CONVALESCENT HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "LANCE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-638-6691"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05052F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Marchelli
• David Marchosky, MD
• Nitheesha Reddy Marepalli, M.B.B.S
• Samuel Marin
• Chanita Marks
• Marlinda West Nursing Home (Beechwood Park)
• Gregory D Marony, PA
• Jennifer M Marquez
• Christopher Julian Marrocco, MD
• Alva A Marsh, MD

• Skilled Nursing Facility in Lynwood, CA
• Providers in Lynwood, 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 Dec 3, 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.