CULVER WEST CONVALESCENT HOSPITAL
NPI 1083603880
Skilled Nursing Facility in Los Angeles, CA

Active since October 14, 2005
4035 GRAND VIEW BLVD, LOS ANGELES, CA 90066(310) 390-9506(310) 391-1974 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Culver West Convalescent Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CULVER WEST CONVALESCENT HOSPITAL (NPI 1083603880) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since October 2005. The organization lists Bryon Eugene Mooney, Administrator In Training, as its authorized official.

NPPES Registry Identity

NPI1083603880
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCULVER WEST CONVALESCENT HOSPITAL
Location Address4035 GRAND VIEW BLVDLos Angeles, CA 90066-5211
Mailing Address4035 Grand View BlvdLos Angeles, CA 90066-5211 · (310) 390-9506 · Fax (310) 391-1974
Fax(310) 391-1974
Organization SubpartNo
Authorized OfficialBryon Eugene MooneyAdministrator In Training · (310) 390-9506
Enumeration DateOctober 14, 2005
Last NPPES UpdateMay 29, 2012
NPI 1083603880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 910000038
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

4035 GRAND VIEW BLVD, Los Angeles, CA 90066

Other Names 1

Doing Business AsCulver West Convalescent Hospital

Other Identifiers 3

MedicaidZZT05350GCA
Medicare NSC0690140001CA
Medicare OSCAR/certification055350CA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
4035 GRAND VIEW BLVD
LOS ANGELES, CA 90066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Culver West Convalescent Hospital's NPI number?

The NPI number for Culver West Convalescent Hospital is 1083603880. It was assigned to this organization in the NPPES registry on October 14, 2005.

Where is Culver West Convalescent Hospital located?

Culver West Convalescent Hospital is located at 4035 Grand View Blvd, Los Angeles, CA 90066. The listed phone number is (310) 390-9506.

What is Culver West Convalescent Hospital's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Culver West Convalescent Hospital was last updated on May 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.