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BLOOMFIELD WEST INC NPI 1487740452


NPI Information

NPI: 1487740452
Provider Name: BLOOMFIELD WEST INC

Doing Business As: MARLINDA WEST NURSING HOME

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
3333 E IMPERIAL HWY
LYNWOOD, CA
ZIP 90262
Phone: (310) 638-6691
Get Directions

BLOOMFIELD WEST INC is an intermediate care facility mentally retarded in Lynwood, CA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. BLOOMFIELD WEST INC NPI is 1487740452. The provider is registered as an organization entity type.
The provider Is Doing Business As Marlinda West Nursing Home.

The provider's business location address is:

3333 E IMPERIAL HWY
LYNWOOD, CA
ZIP 90262-305
Phone: (310) 638-6691

The provider's authorized official is Katherine Lance .
The authorized official title is Ceo and has the following contact phone number (310) 638-6691.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/11/2012.


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
1315P00000XIntermediate Care Facility, Mentally Retarded960000541CALIFORNIANo
2315P00000XIntermediate Care Facility, Mentally Retarded550001863CALIFORNIAYes

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
1LTC90066FMEDICAIDCALIFORNIA
2550001863MEDICAIDCALIFORNIA

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: 11/14/2023

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