Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lakewood Manor North Inc

Organization Skilled Nursing Facility · NPI 1083759500

Lakewood Manor North Inc is a Skilled Nursing Facility in Los Angeles, California. Medicare rates this nursing home 1 out of 5. Licensed in California.

CMS rating
1 of 5
Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 056078)
Health inspection1.0 / 5
Staffing2.0 / 5
Quality measures4.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

831 S Lake St
Los Angeles, CA 90057-4013
Phone: (213) 380-9175
Fax: (213) 380-1879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 970000069 (CA)

Record details

NPI number1083759500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Elliott — Administrator · (213) 380-9175
NPI enumeratedFebruary 21, 2007
Last updated in NPPESJune 18, 2012
Mailing address831 S Lake Street, Los Angeles

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