# NORTH STAR HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA SERRANO NORTH CONV HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134156698
- **Authorized official:** SHEILAH GRIER (CONTROLLER)
- **Authorized official phone:** (323) 465-2106

## Contact information

- **Practice address:** 5401 FOUNTAIN AVE, LOS ANGELES, CA 90029-1006
- **Practice address phone:** (323) 465-2106
- **Practice address fax:** (323) 465-3703
- **Mailing address:** 5401 FOUNTAIN AVE, LOS ANGELES, CA 90029-1006
- **Mailing address phone:** (323) 465-2106

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 08/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1134156698 | NPI | CA |
| 05 | — | ZZT06061H | — | CA |