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DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA NPI 1821316076


NPI Information

NPI: 1821316076
Provider Name: DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA

Doing Business As: VETERANS HOME OF CALIFORNIA - WEST LOS ANGELES

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 05D2012666

Address:
11500 NIMITZ AVE
LOS ANGELES, CA
ZIP 90049
Phone: (818) 742-1752
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DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA is a skilled nursing facility in Los Angeles, CA. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA NPI is 1821316076. The provider is registered as an organization entity type.
The provider Is Doing Business As Veterans Home Of California - West Los Angeles.

The provider's business location address is:

11500 NIMITZ AVE
LOS ANGELES, CA
ZIP 90049-566
Phone: (818) 742-1752
Fax: (818) 742-1758

The provider's authorized official is Ani Khachatoorian .
The authorized official title is Finance Manager and has the following contact phone number (424) 832-8551.

The CLIA number assigned to this NPI record is 05D2012666 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2010 and was last updated on 5/15/2020.


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 Facility197607966CALIFORNIANo
2314000000XSkilled Nursing Facility550002051CALIFORNIAYes

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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