Provider Demographics
NPI:1528623949
Name:BEIT SHALOM CARE, INC
Entity type:Organization
Organization Name:BEIT SHALOM CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIMON
Authorized Official - Middle Name:OVADIA
Authorized Official - Last Name:BAYAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-876-1293
Mailing Address - Street 1:12300 HATTERAS ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-1707
Mailing Address - Country:US
Mailing Address - Phone:818-390-0799
Mailing Address - Fax:323-544-6493
Practice Address - Street 1:1931 PREUSS RD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-1106
Practice Address - Country:US
Practice Address - Phone:310-876-1293
Practice Address - Fax:323-544-6493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility