Provider Type Icon

JAPANESE HOME FOR THE AGED NPI 1063512978


NPI Information

NPI: 1063512978
Provider Name: JAPANESE HOME FOR THE AGED

Doing Business As: KEIRO INTERMEDIATE CARE FACILITY

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
325 S BOYLE AVE
LOS ANGELES, CA
ZIP 90033
Phone: (323) 263-9655
Get Directions

JAPANESE HOME FOR THE AGED is a nursing facility intermediate care facility in Los Angeles, CA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. JAPANESE HOME FOR THE AGED NPI is 1063512978. The provider is registered as an organization entity type.
The provider Is Doing Business As Keiro Intermediate Care Facility.

The provider's business location address is:

325 S BOYLE AVE
LOS ANGELES, CA
ZIP 90033-812
Phone: (323) 263-9655
Fax: (323) 263-2721

The provider's authorized official is Shawn Miyake .
The authorized official title is President And Ceo and has the following contact phone number (323) 980-7500.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 2/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1313M00000XNursing Facility/Intermediate Care Facility970000039CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LTC90079FMEDICAIDCALIFORNIA
205A411MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.