NPIMap

Organization Active NPI

Atlas Care Enterprises Incorporated

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1922089119
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
970000035 Issued in CA
Legal business name
ATLAS CARE ENTERPRISES INCORPORATED
Practice address
101 S Fickett St
Los Angeles, CA 90033-4017
Phone
(323) 261-8108
Fax
(323) 261-8213
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Mr. Fil V Consolacion, NHA5683
Title
Administrator
Phone
(323) 261-8108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 970000035 CA Primary

Addresses

Primary practice location

101 S Fickett St
Los Angeles, CA 90033-4017

Mailing address

101 S Fickett St
Los Angeles, CA 90033-4017
Phone (323) 261-8108

Other identifiers 1

IdentifierTypeStateIssuer
ZZT06063HMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Atlas Care Enterprises Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1922089119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S FICKETT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900334017",
            "telephone_number": "323-261-8108",
            "fax_number": "323-261-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S FICKETT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900334017",
            "telephone_number": "323-261-8108",
            "fax_number": "323-261-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS CARE ENTERPRISES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "CONSOLACION",
        "authorized_official_first_name": "FIL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-261-8108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA5683"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06063H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.