535 W Broadway Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

191221839 Issued in CA

Legal business name

535 W BROADWAY INC

Practice address

535 W Broadway
Glendale, CA 91204-1131

Phone

(818) 246-4951

Fax

(818) 243-0437

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul Solomon

Title

President

Phone

(818) 246-4951

Specialties & licenses 1

Addresses

Other names 1

• Broadview Retirement Center Doing business as

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1376734087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 W BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041131",
            "telephone_number": "818-246-4951",
            "fax_number": "818-243-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041131",
            "telephone_number": "818-246-4951",
            "fax_number": "818-243-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "535 W BROADWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-246-4951",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "191221839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadview Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.