Equicare Medical Supply, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

970000064 Issued in CA

Legal business name

EQUICARE MEDICAL SUPPLY, INC.

Doing business as

Emerald Terrace Convalescent Hospital

Practice address

1154 S Alvarado St
Los Angeles, CA 90006-4110

Phone

(213) 385-1715

Fax

(213) 385-7802

NPI assigned

Nov 22, 2005

Organization subpart

Yes

Parent organization

EQUICARE MEDICAL SUPPLY, INC.As reported in NPPES

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

Authorized official

Name

Ms. Cristina Bernardo Mendoza, BNHA6137

Title

Administrator

Phone

(213) 385-1715

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EMERALD TERRACE CONVALESCENT HOSPITAL Doing business as

Part of

Equicare Medical Supply Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Estacio Legaspi

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1194049619
  NPD

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1710960885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064110",
            "telephone_number": "213-385-1715",
            "fax_number": "213-385-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064110",
            "telephone_number": "213-385-1715",
            "fax_number": "213-385-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUICARE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EQUICARE MEDICAL SUPPLY, INC.",
        "enumeration_date": "2005-11-22",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "BERNARDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-385-1715",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BNHA6137"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "970000064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06157I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMERALD TERRACE CONVALESCENT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Epstein, MA, OTR/L
• Shelby Epstine, NP
• Iman Epuna, MD
• Equality Health Network PC
• Equanimity Home Health Services, Inc.
• Yesica Mariela Equihua Maximiliano
• Doratriz Equihua, BSW, MSW
• Equip Physical Therapy and Rehabilitation Inc
• ER Physicians Medical Group, Inc.
• Era Women's Health, P.C.

• Nursing Facility/Intermediate Care Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.