Beit Shalom

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BEIT SHALOM

Practice address

1621 S Sherbourne Dr
Los Angeles, CA 90035-4414

Phone

(310) 309-0405

NPI assigned

Apr 29, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Eilat Nahum

Title

Admin

Phone

(310) 309-0405

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1639790744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 S SHERBOURNE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354414",
            "telephone_number": "310-309-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 S SHERBOURNE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354414",
            "telephone_number": "310-309-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEIT SHALOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "NAHUM",
        "authorized_official_first_name": "EILAT",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "310-309-0405",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.