Catered Manor Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CATERED MANOR CARE CENTER LLC

Doing business as

Catered Manor Care Center

Practice address

4010 N Virginia Rd
Long Beach, CA 90807-2627

Phone

(562) 426-0394

NPI assigned

Sep 9, 2024

Last updated

Sep 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abe Bak

Title

Manager

Phone

(818) 853-5760

Specialties & licenses 1

Addresses

Other names 1

• Catered Manor Care Center Doing business as

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1477389302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 COLDWATER CANYON AVE STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061191",
            "telephone_number": "818-853-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 N VIRGINIA RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072627",
            "telephone_number": "562-426-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATERED MANOR CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-853-5760"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catered Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Catalan
• Jacqueline Catalan
• Raymond Anthony Catalan
• Imelda Catallo-Brigham, RPH
• Erin W Catching Jr.
• Robin Renee Cattenhead
• Ashley Caudillo
• Lisa Marie Caughern, AMFT
• Alynn Cauldwell, LMFT
• Alexis Khalisse Causey

• Skilled Nursing Facility in Long Beach, CA
• Providers in Long Beach, 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 Sep 9, 2024; 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.