Eisenberg Village of the Los Angeles Jewish Home for the Aging
NPI 1215930995ActiveOrganization· Nursing Facility/Intermediate Care Facility· Reseda, CA
Nursing Facility/Intermediate Care Facility in Reseda, California, registered in NPPES in May 2005. The authorized official on file is Mary M. Forrest, Chief Executive Officer. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1215930995 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2005 |
| Last updated in NPPES | Dec 20, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 920000043 | 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) |
|---|
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