Organization Active NPI

LTG Holding, Inc.

Doing business as Gilmar Manor

  • Adult Care Home Facility
  • Van Nuys, CA
National Provider Identifier
1417498544
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
197603675 Issued in CA
Legal business name
LTG HOLDING, INC.
Doing business as
Gilmar Manor
Practice address
15152 Victory Blvd
Van Nuys, CA 91411-1718
Phone
(818) 989-2651
Fax
(818) 989-2651
NPI assigned
Mar 8, 2017
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Mr. Vladimir Chertok
Title
Chief Executive Officer
Phone
(818) 422-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 197603675 CA Primary

Addresses

Primary practice location

15152 Victory Blvd
Van Nuys, CA 91411-1718

Mailing address

15347 Del Gado Dr
Sherman Oaks, CA 91403-4333
Phone (818) 422-2233

Other names 1

  • Gilmar Manor Doing business as

National Provider Directory

National Provider Directory

Locations

15152 Victory Blvd
Van Nuys, CA 91411
Phone (818) 989-2651

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1417498544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15347 DEL GADO DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914034333",
            "telephone_number": "818-422-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15152 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111718",
            "telephone_number": "818-989-2651",
            "fax_number": "818-989-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTG HOLDING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "CHERTOK",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-422-2233",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "197603675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilmar Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.