Organization Active NPI

Elms Sanitarium Inc

Doing business as Elms Convalescent Hospital

  • Skilled Nursing Facility
  • Glendale, CA
National Provider Identifier
1306959846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELMS SANITARIUM INC
Doing business as
Elms Convalescent Hospital
Practice address
212 W Chevy Chase Dr
Glendale, CA 91204-2318
Phone
(818) 240-6720
Fax
(818) 247-3942
NPI assigned
Aug 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dolores Mae Diehl, R.N.
Title
Administrator
Phone
(818) 240-6720

Specialties & licenses 1

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

Addresses

Primary practice location

212 W Chevy Chase Dr
Glendale, CA 91204-2318

Mailing address

212 W Chevy Chase Dr
Glendale, CA 91204-2318
Phone (818) 240-6720

Other identifiers 1

IdentifierTypeStateIssuer
LTC55605FMedicaidCA

Other names 1

  • ELMS CONVALESCENT HOSPITAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elms Convalescent Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306959846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042318",
            "telephone_number": "818-240-6720",
            "fax_number": "818-247-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W CHEVY CHASE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042318",
            "telephone_number": "818-240-6720",
            "fax_number": "818-247-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMS SANITARIUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-240-6720",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55605F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELMS CONVALESCENT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.