Provider Demographics
NPI:1851401251
Name:G AND E HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:G AND E HEALTHCARE SERVICES, LLC
Other - Org Name:ASTORIA NURSING AND REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-304-6900
Mailing Address - Street 1:445 S FAIR OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2632
Mailing Address - Country:US
Mailing Address - Phone:626-304-6900
Mailing Address - Fax:626-564-2617
Practice Address - Street 1:14040 ASTORIA ST
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-2949
Practice Address - Country:US
Practice Address - Phone:818-367-5881
Practice Address - Fax:818-362-1350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA920000004314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZT06084HMedicaid
CAZZT06084HMedicaid