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

NPI Status: Active since May 24, 2005

Contact Information

18855 VICTORY BLVD
RESEDA, CA
ZIP 91335
Phone: (818) 774-3000

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About EISENBERG VILLAGE

This page provides the complete NPI Profile along with additional information for Eisenberg Village, a provider established in Reseda, California operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1215930995 assigned on May 2005. The practitioner's primary taxonomy code is 313M00000X with license number 920000043 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Eisenberg Village. The authorized official of this NPI record is Ms. Mary M Forrest (Chief Executive Officer)

NPI
1215930995
Provider Legal Name
EISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING
Other Organization Name
EISENBERG VILLAGE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
18855 VICTORY BLVD RESEDA, CA 91335
Location Phone
(818) 774-3000
Mailing Address
18855 VICTORY BLVD RESEDA, CA 91335
Mailing Phone
(818) 774-3000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2005
Last Update Date
12-20-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
920000043
License State
CA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MARY M FORREST

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(818) 774-9208

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
055013MEDICARE ID-TYPE UNSPECIFIED (04)CA 
ZZT08013FMEDICAID (05)CA 
0580850001MEDICARE NSC (07)CA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215930995, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 1 + 8 + 3 + 0 + 9 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1215930995.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Internal Medicine
18855 VICTORY BLVD
RESEDA, CA 91335
Optometrist
18855 VICTORY BLVD
RESEDA, CA 91335
Clinic/Center
18855 VICTORY BLVD
RESEDA, CA 91335
Physical Therapist
18855 VICTORY BLVD
RESEDA, CA 91335
Assisted Living Facility
18855 VICTORY BLVD
RESEDA, CA 91335
Family Medicine (Hospice and Palliative Medicine)
18855 VICTORY BLVD
RESEDA, CA 91335
Speech-Language Pathologist
18855 VICTORY BLVD
RESEDA, CA 91335
Nurse Practitioner (Gerontology)
18855 VICTORY BLVD, ATTN: BILLING DEPARTMENT
RESEDA, CA 91335
Internal Medicine
18855 VICTORY BLVD, ATTN BILLING DEPARTMENT
RESEDA, CA 91335

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215930995, enumerated as an "organization" on May 24, 2005.

The provider is located at 18855 VICTORY BLVD RESEDA, CA 91335 and the phone number is (818) 774-3000.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.