# EMBERCARE HEALTH CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ember Health Care Center Monte Vista
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033191374
- **Authorized official:** MS. LINDA K MONACO (ADMINISTRATOR)
- **Authorized official phone:** (323) 254-6125

## Contact information

- **Practice address:** 5125 MONTE VISTA ST, LOS ANGELES, CA 90042-3931
- **Practice address phone:** (323) 254-6125
- **Practice address fax:** (323) 254-0293
- **Mailing address:** 5125 MONTE VISTA ST, LOS ANGELES, CA 90042-3931
- **Mailing address phone:** (323) 254-6125
- **Mailing address fax:** (323) 254-0293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 555165 | CA | Yes |
| 314000000X | Skilled Nursing Facility | LTC55165J | CA | — |

## Other

- **Enumeration date:** 11/14/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55165J | — | CA |