Sheraton Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

920000065 Issued in CA

Legal business name

SHERATON HEALTHCARE CENTER LLC

Practice address

9655 Sepulveda Blvd
North Hills, CA 91343-3307

Phone

(323) 596-2145

Fax

(323) 596-4645

NPI assigned

Apr 11, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Reissman

Title

Ceo/Chairman

Phone

(310) 574-3733

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Country Villa Sheraton Healthcare Center Doing business as

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1982960209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 W GOLDLEAF CIR STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561297",
            "telephone_number": "310-574-3733",
            "fax_number": "323-596-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 SEPULVEDA BLVD",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433307",
            "telephone_number": "323-596-2145",
            "fax_number": "323-596-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERATON HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "REISSMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO/CHAIRMAN",
        "authorized_official_telephone_number": "310-574-3733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18676I",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70130F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Villa Sheraton Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phyllis Shapiro
• Karen Sharkey
• Shobha Sharma, NURSE PRACTITIONER
• Mahamaya Shenoy, MD
• Mark Shepard
• Wayne Shu
• Louisa Rose Singer, RN, CRNFA
• Harman Singh, DO
• Ranbir Singh, DDS
• Serena Sitterle, BA

• Skilled Nursing Facility in North Hills, CA
• Providers in North Hills, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.