Westside Health Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WESTSIDE HEALTH CARE, LLC

Doing business as

Westside Convalescent Hospital

Practice address

1020 S Fairfax Ave
Los Angeles, CA 90019-4401

Phone

(323) 938-2451

Fax

(323) 938-0361

NPI assigned

May 4, 2007

Last updated

Sep 15, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

TRINITY NURSING HOME MANAGEMENT INCAs reported in NPPES

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

Authorized official

Name

Helen Sturgeon

Title

Controller

Phone

(323) 938-2451

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WESTSIDE CONVALESCENT HOSPITAL Doing business as

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1740492701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S FAIRFAX AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194401",
            "telephone_number": "323-938-2451",
            "fax_number": "323-938-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S FAIRFAX AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194401",
            "telephone_number": "323-938-2451",
            "fax_number": "323-938-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE HEALTH CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY NURSING HOME MANAGEMENT INC",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "STURGEON",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "323-938-2451"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55139F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740492701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTSIDE CONVALESCENT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Westside Emergency Medical Associates
• Westside Endodontics Inc
• Westside Endodontics Inc
• Westside Gastroenterology and Hepatology
• Westside Health Care, Inc.
• Westside Health Enterprises Inc
• Westside Healthcare Group (A Comfortable Home Care)
• Westside Home Health, Inc.
• Westside Home Medical Equipment
• Westside Hospice Care, Inc.

• 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 Sep 15, 2014; 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.