Mishkan Senior Care Corp.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197608546 Issued in CA

Legal business name

MISHKAN SENIOR CARE CORP.

Doing business as

Leisure Village

Practice address

6230 Wilshire Blvd Ste 2070
Los Angeles, CA 90048-5138

Phone

(818) 378-7422

NPI assigned

Mar 27, 2016

Last updated

Mar 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Justin Michael Levi

Title

Vice President

Phone

(818) 378-7422

Specialties & licenses 1

Addresses

Other names 1

• Leisure Village Doing business as

Locations

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

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459036800000",
    "number": "1205298353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 WILSHIRE BLVD STE 2070",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485138",
            "telephone_number": "818-378-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 WILSHIRE BLVD STE 2070",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485138",
            "telephone_number": "818-378-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHKAN SENIOR CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-27",
        "last_updated": "2016-03-27",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-378-7422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leisure Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Misha Lanzat, D.P.M., Inc.
• Nadia Mishael, PSY.D., LCSW
• Daniel Eliahu Mishail, DDS
• Mishel Farasatpour MD Inc
• Martiros Mishidzhyan
• Yafa Mishkanian, M.D.
• Andela Misic
• Mary Grace Miskelly
• Kimberly Mislick, M.D.
• Misner DMD Professional Dental Corp (Kids Dental Place)

• Assisted Living Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Assisted Living Facility in California

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