Keiro Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

970000059 Issued in CA

Legal business name

KEIRO NURSING HOME

Practice address

2221 Lincoln Park Ave
Los Angeles, CA 90031

Phone

(323) 276-5700

Fax

(323) 276-5732

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Miyake

Title

President and Ceo

Phone

(323) 980-7500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1487754297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 LINCOLN PARK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90031",
            "telephone_number": "323-276-5700",
            "fax_number": "323-276-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 LINCOLN PARK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90031",
            "telephone_number": "323-276-5700",
            "fax_number": "323-276-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIRO NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "MIYAKE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "323-980-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55438F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louay Keilani, M.D.
• Audrey Anne Keim, MD
• Robert Gerald Keim, D.D.S.
• Dorothy Keiper
• Susan Jennifer Keiper, FNP
• Keith Earl Kenyon Jr MD Inc
• Keith L Agre, MD, Medical Corporation
• Keith L. Gurnick, D.P.M.
• Averi Keith
• William Daniel Keith Jr., M.D. , INC.

• Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 11, 2013; 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.