Provider Demographics
NPI:1013002823
Name:TORRANCE CARE CENTER EAST, INC.
Entity Type:Organization
Organization Name:TORRANCE CARE CENTER EAST, INC.
Other - Org Name:TORRANCE CARE CENTER EAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:310-370-5611
Mailing Address - Street 1:4315 TORRANCE BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4401
Mailing Address - Country:US
Mailing Address - Phone:310-370-5611
Mailing Address - Fax:310-793-7631
Practice Address - Street 1:4315 TORRANCE BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4401
Practice Address - Country:US
Practice Address - Phone:310-370-5611
Practice Address - Fax:310-793-7631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC06352GMedicaid
CA8882433OtherMEDICAL PIN NUMBER
CALTC06352GMedicaid