Promise Hospital of East Los Angeles LP

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

930000088 Issued in CA

Legal business name

PROMISE HOSPITAL OF EAST LOS ANGELES LP

Practice address

16453 South Colorado Ave
Paramount, CA 90723

Phone

(562) 531-3110

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Hopwood

Title

Cfo

Phone

(561) 869-3100

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 050303

Legal name

LINCOLN HOSP

Certification status

Terminated Voluntary: other reason for withdrawal, Dec 21, 1985

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

May 22, 1984

Beds

47

Ownership / control type

Other

Facility address

443 S Soto St
Los Angeles, CA 90033

Hospital certification: CCN 050713

Legal name

PROMISE HOSPITAL OF EAST LOS ANGELES

Certification status

Terminated Other: provider status change, Jun 30, 2004

Provider type (POS)

Hospital – Short-term

Participating since

Sep 27, 1995

Last certification

Aug 23, 1995

Beds

47

Ownership / control type

Private (for profit)

Facility address

443 South Soto Street
Los Angeles, CA 90033

Locations

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1770543761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 YAMATO ROAD",
            "address_2": "3RD FLOOR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-869-3100",
            "fax_number": "561-826-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16453 SOUTH COLORADO AVE",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "90723",
            "telephone_number": "562-531-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16453 Colorado Ave",
            "address_purpose": "LOCATION",
            "city": "Paramount",
            "state": "CA",
            "postal_code": "907235011",
            "country_code": "US",
            "telephone_number": "562-531-3110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "443 S Soto St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900334315",
            "country_code": "US",
            "telephone_number": "323-261-1181",
            "fax_number": "323-264-4340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROMISE HOSPITAL OF EAST LOS ANGELES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HOPWOOD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-869-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "930000088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30713F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30571J",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30571J",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30713F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.