Organization Active NPI

United Convalescent Facilities, Inc.

Doing business as University Park Healthcare Center

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1215922570
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
970000067 Issued in CA
Legal business name
UNITED CONVALESCENT FACILITIES, INC.
Doing business as
University Park Healthcare Center
Practice address
230 East Adams Boulevard
Los Angeles, CA 90011
Phone
(213) 748-0941
Fax
(213) 748-3299
NPI assigned
Sep 13, 2005
Last updated
Jul 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Jacob Wintner
Title
Manager
Phone
(323) 651-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 970000067 CA Primary

Addresses

Primary practice location

230 East Adams Boulevard
Los Angeles, CA 90011

Mailing address

230 East Adams Boulevard
Los Angeles, CA 90011
Phone (213) 748-0941

Other identifiers 1

IdentifierTypeStateIssuer
ZZT06206IMedicaidCA

Other names 1

  • University Park Healthcare Center Doing business as

National Provider Directory

National Provider Directory

Locations

230 E Adams Blvd
Los Angeles, CA 90011
Phone (213) 748-0491

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1215922570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 EAST ADAMS BOULEVARD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90011",
            "telephone_number": "213-748-0941",
            "fax_number": "310-574-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 EAST ADAMS BOULEVARD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90011",
            "telephone_number": "213-748-0941",
            "fax_number": "213-748-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CONVALESCENT FACILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "WINTNER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-651-1808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06206I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Park Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.