DBA SERRANO SOUTH CONV HOSPITAL
NPI 1801827738
Skilled Nursing Facility in Los Angeles, CA

Active since July 06, 2006
5400 FOUNTAIN AVE, LOS ANGELES, CA 90029(323) 461-4301(323) 461-2784 Get Directions Write a Review

NPPES record last updated: August 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dba Serrano South Conv Hospital NPPES

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

DBA SERRANO SOUTH CONV HOSPITAL (NPI 1801827738) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since July 2006. The organization lists Sheilah Grier, Ar Director, as its authorized official.

NPPES Registry Identity

NPI1801827738
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTH FORK HEALTHCARE, LLC
Location Address5400 FOUNTAIN AVELos Angeles, CA 90029-1007
Mailing Address5400 Fountain AveLos Angeles, CA 90029-1007 · (323) 461-4301 · Fax (323) 461-2784
Fax(323) 461-2784
Organization SubpartNo
Authorized OfficialSheilah GrierAr Director · (323) 461-4301
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 12, 2016
NPI 1801827738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
5400 FOUNTAIN AVE, Los Angeles, CA 90029

Other Names 1

Doing Business AsDba Serrano South Conv Hospital

Other Identifiers 1

Medicare OSCAR/certification056456CA

Other Providers at the Same Location NPPES 5

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

Occupational Therapist
5400 FOUNTAIN AVE
LOS ANGELES, CA 90029
Skilled Nursing Facility
5400 FOUNTAIN AVE
LOS ANGELES, CA 90029
Occupational Therapist
5400 FOUNTAIN AVE
LOS ANGELES, CA 90029
Skilled Nursing Facility
5400 FOUNTAIN AVE
LOS ANGELES, CA 90029
Dentist (General Practice)
5400 FOUNTAIN AVE
LOS ANGELES, CA 90029

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 South Fork Healthcare, LLC's NPI number?

The NPI number for South Fork Healthcare, LLC is 1801827738. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Dba Serrano South Conv Hospital.

Where is South Fork Healthcare, LLC located?

South Fork Healthcare, LLC is located at 5400 Fountain Ave, Los Angeles, CA 90029. The listed phone number is (323) 461-4301.

What is South Fork Healthcare, LLC'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 South Fork Healthcare, LLC was last updated on August 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.