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

Providence Health System - Southern California

Organization Skilled Nursing Facility · NPI 1477647444

Providence Health System - Southern California is a Skilled Nursing Facility in North Hollywood, 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
2006
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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 055192)
Health inspection1.0 / 5
Staffing4.0 / 5
Quality measures4.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

10425 Magnolia Blvd
North Hollywood, CA 91601-4109
Phone: (818) 980-3872
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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 920000070 (CA)

Record details

NPI number1477647444
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary For Enrollment · (425) 358-9786
Other names Providence St. Elizabeth Care Center; Providence St. Elizabeth Care Center
NPI enumeratedOctober 3, 2006
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address10425 Magnolia Blvd, North Hollywood, CA 91601-4109

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