EMERALD TERRACE CONVALESCENT HOSPITAL
NPI 1710960885
Nursing Facility/Intermediate Care Facility in Los Angeles, CA

Active since November 22, 2005
1154 S ALVARADO ST, LOS ANGELES, CA 90006(213) 385-1715(213) 385-7802 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emerald Terrace Convalescent Hospital NPPES

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

EMERALD TERRACE CONVALESCENT HOSPITAL (NPI 1710960885) is a healthcare organization registered as a nursing facility/intermediate care facility in Los Angeles, California and active in the NPI registry since November 2005. The organization lists Cristina Bernardo Mendoza, Administrator, as its authorized official.

NPPES Registry Identity

NPI1710960885
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameEQUICARE MEDICAL SUPPLY, INC.
Location Address1154 S ALVARADO STLos Angeles, CA 90006-4110
Mailing Address1154 S Alvarado StLos Angeles, CA 90006-4110 · (213) 385-1715 · Fax (213) 385-7802
Fax(213) 385-7802
Organization SubpartYes
Authorized OfficialCristina Bernardo MendozaAdministrator · (213) 385-1715
Enumeration DateNovember 22, 2005
Last NPPES UpdateMay 26, 2011
NPI 1710960885 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 · 970000064
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.
1154 S ALVARADO ST, Los Angeles, CA 90006

Other Names 1

Doing Business AsEmerald Terrace Convalescent Hospital

Other Identifiers 3

Medicare OSCAR/certification056157CA
MedicaidZZT06157ICA
Medicare OSCAR/certification056157

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
1154 S ALVARADO ST
LOS ANGELES, CA 90006

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 Equicare Medical Supply, Inc.'s NPI number?

The NPI number for Equicare Medical Supply, Inc. is 1710960885. It was assigned to this organization in the NPPES registry on November 22, 2005. The provider is doing business as Emerald Terrace Convalescent Hospital.

Where is Equicare Medical Supply, Inc. located?

Equicare Medical Supply, Inc. is located at 1154 S Alvarado St, Los Angeles, CA 90006. The listed phone number is (213) 385-1715.

What is Equicare Medical Supply, Inc.'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 Equicare Medical Supply, Inc. was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.