# CRENSHAW NURSING HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crenshaw Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386728939
- **Authorized official:** KERRI SANDOVAL (ADMINISTRATIVE ASST)
- **Authorized official phone:** (213) 389-6900

## Contact information

- **Practice address:** 1900 LONGWOOD AVE, LOS ANGELES, CA 90016-1408
- **Practice address phone:** (323) 933-1560
- **Practice address fax:** (323) 936-9030
- **Mailing address:** 4032 WILSHIRE BLVD FL 6, LOS ANGELES, CA 90010-3425
- **Mailing address phone:** (213) 389-6900
- **Mailing address fax:** (323) 936-9030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 910000143 | CA | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 06/23/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05525F | — | CA |