Organization
MANCHESTER MANOR CONVALESCENT HOSPITAL
Active
Organization
MANCHESTER MANOR CONVALESCENT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELORES J JOHNSON RN RN (OWNER/DIRECTOR OF NURSING)
(323) 753-1789
Entity
Organization
Contact information
Practice address
837 W MANCHESTER AVE, LOS ANGELES, CA 90044-4913
(323) 753-1789
(323) 753-0400
Mailing address
837 W MANCHESTER AVE, LOS ANGELES, CA 90044-4913
(323) 753-1789
(323) 753-0400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
970000032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC55273F
LTC PROVIDER NUMBER
CA
Enumeration date
11/15/2005
Last updated
03/31/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up