# KEIRO NURSING HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTH BAY KEIRO NURSING HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538279419
- **Authorized official:** MR. HOWARD HIYOSHIDA (ADMINISTRATOR)
- **Authorized official phone:** (310) 532-0700

## Contact information

- **Practice address:** 15115 S VERMONT AVE, GARDENA, CA 90247-4101
- **Practice address phone:** (310) 532-0700
- **Practice address fax:** (310) 532-0001
- **Mailing address:** 15115 S VERMONT AVE, GARDENA, CA 90247-4101
- **Mailing address phone:** (310) 532-0700
- **Mailing address fax:** (310) 532-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 910000135 | CA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 06/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZTO6210I | — | CA |