Organization · Type 2 NPI

Broadway Manor Care Center LLC

Skilled Nursing Facility · Glendale, CA

NPI number 1053480418 Active

Practice location

605 W Broadway
Glendale, CA 91204-1007

Call (818) 246-7174 Map

Fax (818) 246-7635

Mailing address

4032 Wilshire Blvd Fl 6
Los Angeles, CA 90010-3425

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	920000064 (CA)

Skilled Nursing Facility: (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 r…

2 other providers at this address

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NPI record

NPI: 1053480418
Entity type: Organization (Type 2)
Issued: Nov 7, 2006
Last updated: Sep 29, 2023
Status: Active

Other names

<unavail>
Broadway Manor Care Center · doing business as
Broadway Manor Care Center · doing business as

Authorized official

Ira David Friedman
Manager
(213) 389-6900

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053480418

Broadway Manor Care Center LLC's National Provider Identifier is 1053480418, issued on Nov 7, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Glendale, CA. The record was last updated on Sep 29, 2023.