Active NPI
SH Escalate Enterprise, Inc.
- Nursing Facility/Intermediate Care Facility
- Los Angeles, CA
National Provider Identifier
1528568169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2164136 | SH Escalate Enterprise, Inc | Certificate of waiver | Mar 27, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.