Emmanuel Healthcare Center Pinecrest
Organization Active NPI Skilled Nursing Facility · Maywood, CA
NPI 1366424889 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1366424889
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- EMMANUEL HEALTHCARE CENTER PINECREST
- Practice address
- 6025 Pine Ave
Maywood, CA 90270-3108 - Phone
- (323) 560-0720
- Fax
- (323) 773-7872
- NPI assigned
- Nov 18, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Wenda L Dagenais, LIC ADMINISTRATOR
- Title
- Administrator
- Phone
- (323) 560-0720
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Yes |
Addresses
Primary practice location
6025 Pine Ave
Maywood, CA 90270-3108
Mailing address
6025 Pine Ave
Maywood, CA 90270-3108
Phone (323) 560-0720
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.