Pasadena Meadows Nursing Center, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PASADENA MEADOWS NURSING CENTER, LP

Practice address

1141 S Beverly Dr
Floor 3
Los Angeles, CA 90035

Phone

(310) 286-3074

Fax

(310) 286-3064

NPI assigned

Oct 5, 2012

Last updated

Jul 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jacob MM Graff

Title

Pres/Ceo of General Partner

Phone

(310) 286-3074

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1750633350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 BEVERLY DRIVE",
            "address_2": "3RD FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351119",
            "telephone_number": "310-286-3074",
            "fax_number": "310-286-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 S BEVERLY DR",
            "address_2": "FLOOR 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "310-286-3074",
            "fax_number": "310-286-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA MEADOWS NURSING CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "MM",
        "authorized_official_title_or_position": "PRES/CEO OF GENERAL PARTNER",
        "authorized_official_telephone_number": "310-286-3074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "970000037",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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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 Jul 25, 2018; 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.