LAKEWOOD MANOR NORTH INC
NPI 1083759500
Skilled Nursing Facility in Los Angeles, CA

Active since February 21, 2007
831 S LAKE ST, LOS ANGELES, CA 90057(213) 380-9175(213) 380-1879 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakewood Manor North Inc NPPES

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

LAKEWOOD MANOR NORTH INC (NPI 1083759500) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since February 2007. The organization lists Kim Charles Elliott, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083759500
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKEWOOD MANOR NORTH INC
Location Address831 S LAKE STLos Angeles, CA 90057-4013
Mailing Address831 S Lake StreetLos Angeles, USA USA · (213) 380-9175 · Fax (213) 380-1879
Fax(213) 380-1879
Organization SubpartNo
Authorized OfficialKim Charles ElliottAdministrator · (213) 380-9175
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJune 18, 2012
NPI 1083759500 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 · 970000069
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.
831 S LAKE ST, Los Angeles, CA 90057

Other Identifiers 2

Medicare ID-Type Unspecified056078CA · Medicare
MedicaidZZT06078FCA

Other Providers at the Same Location NPPES 4

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

Nursing Facility/Intermediate Care Facility
831 S LAKE ST
LOS ANGELES, CA 90057
Skilled Nursing Facility
831 S LAKE ST
LOS ANGELES, CA 90057
Skilled Nursing Facility
831 S LAKE ST
LOS ANGELES, CA 90057
Occupational Therapy Assistant
831 S LAKE ST
LOS ANGELES, CA 90057

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 Lakewood Manor North Inc's NPI number?

The NPI number for Lakewood Manor North Inc is 1083759500. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Lakewood Manor North Inc located?

Lakewood Manor North Inc is located at 831 S Lake St, Los Angeles, CA 90057. The listed phone number is (213) 380-9175.

What is Lakewood Manor North Inc'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 Lakewood Manor North Inc was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.