Provider Demographics
NPI:1144911199
Name:VALLEY POST-ACUTE AND REHAB LLC
Entity type:Organization
Organization Name:VALLEY POST-ACUTE AND REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-842-8800
Mailing Address - Street 1:4221 WILSHIRE BLVD STE 290-9
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-3530
Mailing Address - Country:US
Mailing Address - Phone:323-842-8800
Mailing Address - Fax:
Practice Address - Street 1:1205 8TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-2123
Practice Address - Country:US
Practice Address - Phone:661-334-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility