BV General Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BV GENERAL INC

Practice address

1505 Colby Dr
Glendale, CA 91205-3307

Phone

(818) 247-4476

Fax

(818) 247-1776

NPI assigned

Jun 8, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Yolanda Wise

Title

Administrator

Phone

(818) 247-4476

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leisure Glen Care Center Doing business as

Tax ID family

B V General Inc2 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.

• Leisure Vale Retirement Hotel

  • Assisted Living Facility
  • Glendale, CA
  • NPI 1043410863
  NPD tax ID

Locations

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376547315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 COLBY DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053307",
            "telephone_number": "818-247-4476",
            "fax_number": "818-247-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 COLBY DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053307",
            "telephone_number": "818-247-4476",
            "fax_number": "818-247-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BV GENERAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-247-4476",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC05845H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leisure Glen Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jo-Anne Bustamante, PAC
• Kristine Bustos, NP-C
• Alexandria Lauren Butler, DMD, MMSC
• Heather Marie Butterfield
• Anil Buyruk, RN
• Bva Hospice Care, Inc.
• Scott Joseph Byington
• Maria Guadalupe Bykowski, FNP
• Onjelle Jeanette Byron, NONE
• BZ Health - Marina, Inc.

• Skilled Nursing Facility in Glendale, CA
• Providers in Glendale, 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 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.