Marlinda West Nursing Home

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

960001334 Issued in CA

Legal business name

MARLINDA WEST NURSING HOME

Practice address

3358 Beechwood Ave
Lynwood, CA 90262-3302

Phone

(310) 638-6691

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Linda Gassoumis

Title

Owner

Phone

(310) 638-6691

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beechwood Park Doing business as

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214092800000",
    "number": "1922147685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623305",
            "telephone_number": "310-638-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3358 BEECHWOOD AVE",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623302",
            "telephone_number": "310-638-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLINDA WEST NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-06-22",
        "status": "A",
        "authorized_official_last_name": "GASSOUMIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-638-6691"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960001334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80302F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beechwood Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Marchosky, MD
• Nitheesha Reddy Marepalli, M.B.B.S
• Samuel Marin
• Chanita Marks
• Marlinda Convalescent Hospital, Inc
• Gregory D Marony, PA
• Jennifer M Marquez
• Christopher Julian Marrocco, MD
• Alva A Marsh, MD
• Jorge Martin

• Intellectual Disabilities Intermediate Care Facility in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

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