Elderly Manor Affiliation Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

34766 Issued in CA

Legal business name

ELDERLY MANOR AFFILIATION INC.

Practice address

554 Keelson Cir
Redwood City, CA 94065

Phone

(650) 697-7744

Fax

(650) 697-7754

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Galina Malykhina, CST

Title

Owner/Ceo

Phone

(650) 697-7744

Specialties & licenses 1

Addresses

Other names 1

• Interguide Dental & Medical Supply Doing business as

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1669911582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 REDWOOD SHORES PKWY",
            "address_2": "SUITE 713",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651173",
            "telephone_number": "650-697-7744",
            "fax_number": "650-697-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 KEELSON CIR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94065",
            "telephone_number": "650-697-7744",
            "fax_number": "650-697-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERLY MANOR AFFILIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "MALYKHINA",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "650-697-7744",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "34766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interguide Dental & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Marie Einsiedl, RN, MSN, PNP
• Rachel Beth Einziger, MA , MFTI
• Michael G. Eipp I, CPRP
• Debra A. Eisenberger-Matityahu, MD
• El Centro de Libertad/the Freedom Center, Inc.
• Kathleen Laura Eldredge, PH.D.
• Farzaneh Eleen, PH.D
• Element Science Inc.
• Elite Ambulance
• Elizabeth B Nguyen DDS Inc

• Durable Medical Equipment & Medical Supplies in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.