- Enrollment id
- O20160128002026
- Enrollment state
- CA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1619347465
- Multiple npi flag
- N
- Ccn
- 555438
- Associate id
- 9335442136
- Organization name
- ALAL LLC
- Doing business as name
- KEI-AI LOS ANGELES HEALTHCARE CENTER
- Incorporation date
- 2015-01-09
- Incorporation state
- CA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- KEI-AI LOS ANGELES HEALTHCARE CENTER
- Affiliation entity name
- ASPEN SKILLED HEALTHCARE
- Affiliation entity id
- 50
- Address line 1
- 2221 LINCOLN PARK AVE
- City
- LOS ANGELES
- State
- CA
- Zip code
- 900312920