Provider Demographics
NPI:1063994408
Name:SINAI CONGREGATE LIVING FACILITY
Entity type:Organization
Organization Name:SINAI CONGREGATE LIVING FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-888-6568
Mailing Address - Street 1:1759 WINDERMERE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-5319
Mailing Address - Country:US
Mailing Address - Phone:562-888-6568
Mailing Address - Fax:562-239-2022
Practice Address - Street 1:1759 WINDERMERE DRIVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-5319
Practice Address - Country:US
Practice Address - Phone:562-888-6568
Practice Address - Fax:562-239-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-01
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility