Organization Active NPI

Lakeview Terrace Skilled Nursing Facility, LLC

  • Nursing Facility/Intermediate Care Facility
  • Los Angeles, CA
National Provider Identifier
1609275718
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
LAKEVIEW TERRACE SKILLED NURSING FACILITY, LLC
Practice address
831 S Lake St
Los Angeles, CA 90057-4013
Phone
(213) 380-9175
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Mr. Elliot Zemel
Title
Owner
Phone
(213) 380-9175

Specialties & licenses 1

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

Addresses

Primary practice location

831 S Lake St
Los Angeles, CA 90057-4013

Mailing address

327 N Formosa Ave
Los Angeles, CA 90036-2526
Phone (213) 380-3210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1609275718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N FORMOSA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362526",
            "telephone_number": "213-380-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 S LAKE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574013",
            "telephone_number": "213-380-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW TERRACE SKILLED NURSING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "ZEMEL",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-380-9175",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Oct 26, 2022; 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.