Organization Active NPI

SH Escalate Enterprise, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Los Angeles, CA
National Provider Identifier
1528568169
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
SH ESCALATE ENTERPRISE, INC.
Practice address
2722 S Western Ave
Los Angeles, CA 90018-3030
Phone
(323) 643-4880
Fax
(323) 643-4838
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Mrs. Miyoung Lim, RN
Title
Ceo/Adm/DPCS
Phone
(213) 446-3046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

2722 S Western Ave
Los Angeles, CA 90018-3030

Mailing address

2722 S Western Ave
Los Angeles, CA 90018-3030
Phone (323) 643-4880

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2164136SH Escalate Enterprise, Inc2722 S Western Avenue, Los Angeles, CA 90018Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1528568169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900183030",
            "telephone_number": "323-643-4880",
            "fax_number": "323-643-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900183030",
            "telephone_number": "323-643-4880",
            "fax_number": "323-643-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH ESCALATE ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "MIYOUNG",
        "authorized_official_title_or_position": "CEO/ADM/DPCS",
        "authorized_official_telephone_number": "213-446-3046",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.