P & M Healthcare Holdings

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

P & M HEALTHCARE HOLDINGS

Doing business as

Angels Nursing Center

Practice address

415 S Union Ave
Los Angeles, CA 90017-1007

Phone

(213) 484-0784

Fax

(213) 484-1003

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Marylynn Mahan

Title

Chief Financial Officer

Phone

(909) 987-7735

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angels Nursing Center Doing business as

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1649386004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S UNION AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171007",
            "telephone_number": "213-484-0784",
            "fax_number": "213-484-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S UNION AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171007",
            "telephone_number": "213-484-0784",
            "fax_number": "213-484-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & M HEALTHCARE HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "MARYLYNN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-987-7735"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05704J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Feb 14, 2008; 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.