# CENTRAL CONVALESCENT HOSPITAL OF GLENDALE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CHANDLER CONVALESCENT HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164575320
- **Authorized official:** CHARLES LEVINE (ADMINISTRATOR)
- **Authorized official phone:** (818) 240-1610

## Contact information

- **Practice address:** 525 S CENTRAL AVE, GLENDALE, CA 91204-2006
- **Practice address phone:** (818) 240-1610
- **Mailing address:** 525 S CENTRAL AVE, GLENDALE, CA 91204-2006
- **Mailing address phone:** (818) 240-1610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 920000017 | CA | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 11/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT06190F | — | CA |