Organization Active NPI

Generations of Los Angeles Assisted Living Facility Inc.

  • Assisted Living Facility
  • Lynwood, CA
National Provider Identifier
1851142624
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GENERATIONS OF LOS ANGELES ASSISTED LIVING FACILITY INC.
Practice address
3540 Martin Luther King Jr Blvd
Lynwood, CA 90262-2050
Phone
(310) 638-4113
NPI assigned
Mar 29, 2024
Last updated
Mar 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Kyle Watanabe
Title
Director
Phone
(213) 326-9208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

3540 Martin Luther King Jr Blvd
Lynwood, CA 90262-2050

Mailing address

1941 E Center St
Anaheim, CA 92805-3409

National Provider Directory

National Provider Directory

Locations

1941 E Center St
Anaheim, CA 92805
Phone (714) 533-3640

3540 Martin Luther King Jr Blvd
Lynwood, CA 90262
Phone (310) 638-4113

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1851142624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 E CENTER ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622050",
            "telephone_number": "310-638-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS OF LOS ANGELES ASSISTED LIVING FACILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "213-326-9208"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.