Eisenhower Healthcare, LLC

Skilled Nursing Facility in Pasadena, CA. Organization (NPI-2).

NPI number1235669482

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1235669482
Entity type: Organization (NPI-2)
Legal business name: Eisenhower Healthcare, LLC
Organization subpart: No
Enumeration date: Jun 19, 2017
Last updated: Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART A PROVIDER - SKILLED NURSING FACILITY
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
314000000X	Skilled Nursing Facility	–	–	Yes

Practice location

1470 N Fair Oaks Ave
Pasadena, CA 91103-1801

Phone 626-798-9133 · Fax 626-791-8402

Mailing address

1470 N Fair Oaks Ave
Pasadena, CA 91103-1801

Phone 626-798-9133 · Fax 626-791-8402

Authorized official

David Levy
Manager
3238428800

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