Organization Active NPI

Goldstar Healthcare Center of Inglewood, LLC

  • Skilled Nursing Facility
  • Inglewood, CA
National Provider Identifier
1972721355
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
910000024 Issued in CA
Legal business name
GOLDSTAR HEALTHCARE CENTER OF INGLEWOOD, LLC
Practice address
515 Centinela Ave
Inglewood, CA 90302-3215
Phone
(310) 674-4500
Fax
(310) 674-9393
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Dov Goldner
Title
Administrator
Phone
(310) 674-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 910000024 CA Primary

Addresses

Primary practice location

515 Centinela Ave
Inglewood, CA 90302-3215

Mailing address

515 Centinela Ave
Inglewood, CA 90302-3215
Phone (310) 674-4500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1972721355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CENTINELA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903023215",
            "telephone_number": "310-674-4500",
            "fax_number": "310-674-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CENTINELA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903023215",
            "telephone_number": "310-674-4500",
            "fax_number": "310-674-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTAR HEALTHCARE CENTER OF INGLEWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "DOV",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-674-4500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.