Active NPI
Brittany Health Care LLC
- Alzheimer Center (Dementia Center)
- Long Beach, CA
National Provider Identifier
1710766787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- Legal business name
- BRITTANY HEALTH CARE LLC
- Practice address
- 5401 E Centralia St
Long Beach, CA 90808-1452 - Phone
- (562) 421-4717
- Fax
- (562) 421-3746
- NPI assigned
- Sep 27, 2023
- 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
- Mr. Harry Jacob
- Title
- Owner
- Phone
- (323) 864-3823
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Alzheimer Center (Dementia Center) | 311500000X | Primary | ||
| Custodial Care Facility | 311Z00000X |
Addresses
Primary practice location
5401 E Centralia St
Long Beach, CA 90808-1452
Mailing address
4035 Grand View Blvd
Los Angeles, CA 90066-5211
Phone (310) 390-9506
Other names 1
- Brittany House
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695772800000",
"number": "1710766787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4035 GRAND VIEW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665211",
"telephone_number": "310-390-9506",
"fax_number": "310-397-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 E CENTRALIA ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081452",
"telephone_number": "562-421-4717",
"fax_number": "562-421-3746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRITTANY HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-27",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A",
"authorized_official_last_name": "JACOB",
"authorized_official_first_name": "HARRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-864-3823",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brittany House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.