Provider Demographics
NPI:1720622269
Name:BEVERLY HILLS SENIOR CARE FACILITY INC
Entity Type:Organization
Organization Name:BEVERLY HILLS SENIOR CARE FACILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:STIENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-273-3668
Mailing Address - Street 1:1470 S ROBERTSON BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-3402
Mailing Address - Country:US
Mailing Address - Phone:310-273-3668
Mailing Address - Fax:
Practice Address - Street 1:1470 S ROBERTSON BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-3402
Practice Address - Country:US
Practice Address - Phone:310-273-3668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility