Organization
WESTSIDE HEALTH CARE, LLC
Active
Parent organization
TRINITY NURSING HOME MANAGEMENT INC
Other names
WESTSIDE CONVALESCENT HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY NURSING HOME MANAGEMENT INC
Authorized official
HELEN STURGEON (CONTROLLER)
(323) 938-2451
Entity
Organization
Contact information
Practice address
1020 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
(323) 938-2451
(323) 938-0361
Mailing address
1020 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
(323) 938-2451
(323) 938-0361
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740492701
—
CA
05
—
LTC55139F
—
CA
Enumeration date
05/04/2007
Last updated
09/15/2014
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