Organization Active NPI

Ayer Lar Health Care Center

  • Skilled Nursing Facility
  • Gardena, CA
National Provider Identifier
1962510735
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AYER LAR HEALTH CARE CENTER
Practice address
16530 S Broadway Street
Gardena, CA 90248-2714
Phone
(310) 329-9929
Fax
(310) 329-1024
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Lee Ayers
Title
Administrator
Phone
(310) 889-9929

Specialties & licenses 1

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

Addresses

Primary practice location

16530 S Broadway Street
Gardena, CA 90248-2714

Mailing address

16530 S Broadway St
Gardena, CA 90248-2714
Phone (310) 889-9929

Other identifiers 1

IdentifierTypeStateIssuer
ZZT06011HMedicaidCA

National Provider Directory

National Provider Directory

Locations

16530 S Broadway
Gardena, CA 90248
Phone (310) 329-2714

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1962510735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16530 S BROADWAY ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902482714",
            "telephone_number": "310-889-9929",
            "fax_number": "310-889-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 S BROADWAY STREET",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902482714",
            "telephone_number": "310-329-9929",
            "fax_number": "310-329-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYER LAR HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-889-9929"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06011H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.