# LIFE CARE CENTERS OF AMERICA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Imperial Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043251077
- **Authorized official:** CINDY S CROSS (ASSISTANT SECRETARY)
- **Authorized official phone:** (423) 473-5867

## Contact information

- **Practice address:** 11926 LA MIRADA BLVD, LA MIRADA, CA 90638-1303
- **Practice address phone:** (562) 943-7156
- **Practice address fax:** (562) 947-6084
- **Mailing address:** 3001 KEITH ST NW, CLEVELAND, TN 37312-3713
- **Mailing address phone:** (423) 473-5751
- **Mailing address fax:** (423) 339-8342

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 09/15/2021