Provider Demographics
NPI:1366024994
Name:STA MANAGEMENT INC.
Entity type:Organization
Organization Name:STA MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHLOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-475-8861
Mailing Address - Street 1:345 N MANSFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-2623
Mailing Address - Country:US
Mailing Address - Phone:310-475-8861
Mailing Address - Fax:310-474-9922
Practice Address - Street 1:2228 WESTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-2018
Practice Address - Country:US
Practice Address - Phone:310-474-9922
Practice Address - Fax:323-217-7877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility