Broadway Manor Care Center LLC
NPI 1053480418ActiveOrganization· Skilled Nursing Facility· Glendale, CA
Skilled Nursing Facility in Glendale, California, registered in NPPES in November 2006. The authorized official on file is Ira David Friedman, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1053480418 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2006 |
| Last updated in NPPES | Sep 29, 2023 |
| Certified by provider | Sep 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 920000064 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CA) |
|---|
Other Skilled Nursing Facility providers in Glendale
- 1386836211
- 1194062042
- 1649906348
- 1245528926
- 1255338810
- 1376547315
- 1164575320
- 1649857301
- 1669197620
- 1154474302
- 1114846037
- 1306959846