Provider Demographics
NPI:1154856433
Name:UNIFIED CARE FACILITIES
Entity type:Organization
Organization Name:UNIFIED CARE FACILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-327-7504
Mailing Address - Street 1:8222 MELROSE AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-6839
Mailing Address - Country:US
Mailing Address - Phone:323-327-7504
Mailing Address - Fax:866-788-9917
Practice Address - Street 1:2207 MACAU ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-5588
Practice Address - Country:US
Practice Address - Phone:323-327-7504
Practice Address - Fax:866-788-9917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550003711314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility