Provider Demographics
NPI:1104286053
Name:STR LP
Entity type:Organization
Organization Name:STR LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GP
Authorized Official - Prefix:MR
Authorized Official - First Name:SHLOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:ELKAYAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-652-6558
Mailing Address - Street 1:5418 SADRING AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-4146
Mailing Address - Country:US
Mailing Address - Phone:818-704-0081
Mailing Address - Fax:818-301-1904
Practice Address - Street 1:3753 SADDLEBACK DR
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-8519
Practice Address - Country:US
Practice Address - Phone:661-526-5612
Practice Address - Fax:661-526-5103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550003406313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility