# B.V. GENERAL, 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:** Leisure Glen Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255338810
- **Authorized official:** MR. FERNAN PEDRAJA (FINANCIAL CONTROLLER)
- **Authorized official phone:** (181) 824-7620

## Contact information

- **Practice address:** 300 MISSION AVENUE, GLENDALE, CA 91205-3316
- **Practice address phone:** (818) 247-4476
- **Practice address fax:** (818) 247-1776
- **Mailing address:** 1506 S GLENDALE AVE, GLENDALE, CA 91205-3316
- **Mailing address phone:** (181) 824-7620
- **Mailing address fax:** (181) 824-7712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 970000040 | CA | Yes |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 04/21/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05D0556903 | CLIA ID NUMBER | CA |
| 05 | — | LTC05845H | — | CA |