Provider Demographics
NPI:1609927268
Name:AMADA ENTERPRISES INC
Entity Type:Organization
Organization Name:AMADA ENTERPRISES INC
Other - Org Name:VIEW HEIGHTS CONVALESCENT HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, MBA, NHA
Authorized Official - Phone:323-757-1881
Mailing Address - Street 1:12619 S AVALON BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90061-2727
Mailing Address - Country:US
Mailing Address - Phone:323-757-1881
Mailing Address - Fax:323-905-0980
Practice Address - Street 1:12619 S AVALON BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90061-2727
Practice Address - Country:US
Practice Address - Phone:323-757-1881
Practice Address - Fax:323-905-0980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA056417314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZT18558FMedicaid
CA056417Medicare Oscar/Certification