1. Home
  2. Directory
  3. California
  4. Reseda
  5. Nursing Facility Intermediate Care Facility
  6. NPI Profile

EISENBERG VILLAGE
NPI 1215930995
Nursing Facility/Intermediate Care Facility in Reseda, CA

Active since May 24, 2005
18855 VICTORY BLVD, RESEDA, CA 91335(818) 774-3000 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Eisenberg Village NPPES

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

EISENBERG VILLAGE (NPI 1215930995) is a healthcare organization registered as a nursing facility/intermediate care facility in Reseda, California and active in the NPI registry since May 2005. The organization lists Mary M Forrest, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1215930995
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameEISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING
Location Address18855 VICTORY BLVDReseda, CA 91335-6445
Mailing Address18855 Victory BlvdReseda, CA 91335-6445 · (818) 774-3000
Phone(818) 774-3000
Organization SubpartNo
Authorized OfficialMary M ForrestChief Executive Officer · (818) 774-9208
Enumeration DateMay 24, 2005
Last NPPES UpdateDecember 20, 2011
✔ NPI 1215930995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in CA · 920000043
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
18855 VICTORY BLVD, Reseda, CA 91335
Open in Google Maps ↗

Other Names 1

Other NameEisenberg Village

Other Identifiers 3

Medicare ID-Type Unspecified055013CA
MedicaidZZT08013FCA
Medicare NSC0580850001CA

Other Providers at the Same Location NPPES 9

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

MS. LYDIA KAY WILSON GNP
Nurse Practitioner (Gerontology)
18855 VICTORY BLVD, ATTN: BILLING DEPARTMENT
RESEDA, CA 91335
Los Angeles County (818) 774-3354
MR. THOMAS N DAO DPT
Physical Therapist
18855 VICTORY BLVD
RESEDA, CA 91335
Los Angeles County (818) 774-3135
DR. SHAHIN DELKHAH M.D.
Internal Medicine
18855 VICTORY BLVD, ATTN BILLING DEPARTMENT
RESEDA, CA 91335
Los Angeles County (818) 774-3354
NOACHIM MARCO M.D.
Internal Medicine
18855 VICTORY BLVD
RESEDA, CA 91335
Los Angeles County (818) 774-3032
STEVY ASWANI M.S., CCC-SLP
Speech-Language Pathologist
18855 VICTORY BLVD
RESEDA, CA 91335
Los Angeles County (855) 227-3745
JHA GERIATRIC SERVICES, INC
Clinic/Center
18855 VICTORY BLVD
RESEDA, CA 91335
Los Angeles County (818) 774-3354
DR. ISAAC VIELMA M.D.
Family Medicine (Hospice and Palliative Medicine)
18855 VICTORY BLVD
RESEDA, CA 91335
Los Angeles County (818) 920-8070
DR. ELIZABETH CAMARA OD
Optometrist
18855 VICTORY BLVD
RESEDA, CA 91335
Los Angeles County (310) 751-6704

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 Eisenberg Village Of The Los Angeles Jewish Home For The Aging's NPI number?

The NPI number for Eisenberg Village Of The Los Angeles Jewish Home For The Aging is 1215930995. It was assigned to this organization in the NPPES registry on May 24, 2005. The provider is also known as Eisenberg Village.

Where is Eisenberg Village Of The Los Angeles Jewish Home For The Aging located?

Eisenberg Village Of The Los Angeles Jewish Home For The Aging is located at 18855 Victory Blvd, Reseda, CA 91335. The listed phone number is (818) 774-3000.

What is Eisenberg Village Of The Los Angeles Jewish Home For The Aging's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Eisenberg Village Of The Los Angeles Jewish Home For The Aging was last updated on December 20, 2011. 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.