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FRONT PORCH COMMUNITIES OPERATING GROUP LLC NPI 1194130005


NPI Information

NPI: 1194130005
Provider Name: FRONT PORCH COMMUNITIES OPERATING GROUP, LLC

Doing Business As: KINGSLEY MANOR

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 05D0543256

Address:
1055 N KINGSLEY DR
LOS ANGELES, CA
ZIP 90029
Phone: (323) 661-1128
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FRONT PORCH COMMUNITIES OPERATING GROUP, LLC is an assisted living facility in Los Angeles, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. FRONT PORCH COMMUNITIES OPERATING GROUP, LLC NPI is 1194130005. The provider is registered as an organization entity type.
The provider Is Doing Business As Kingsley Manor.

The provider's business location address is:

1055 N KINGSLEY DR
LOS ANGELES, CA
ZIP 90029-207
Phone: (323) 661-1128
Fax: (323) 661-4121

The provider's authorized official is Roberta Jacobsen .
The authorized official title is President and has the following contact phone number (818) 729-8100.

The CLIA number assigned to this NPI record is 05D0543256 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2014 and was last updated on 6/30/2014.


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
1310400000XAssisted Living Facility197608482CALIFORNIAYes

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

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