Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Bonnie Brae Convalescent Hospital Inc

Organization Skilled Nursing Facility · NPI 1487706628

Bonnie Brae Convalescent Hospital Inc is a Skilled Nursing Facility in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

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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Practice location Address checks out

420 S Bonnie Brae St
Los Angeles, CA 90057-3010 Not confirmed with CMS for 12 years — call before visiting
Phone: (213) 483-8144
Fax: (213) 483-6145
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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 970000062 (CA)

Record details

NPI number1487706628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elma Cayton — Chief Executive Officer · (213) 483-8144
NPI enumeratedJanuary 17, 2007
Last updated in NPPESNovember 21, 2013
Mailing address420 S Bonnie Brae St, Los Angeles, CA 90057-3010

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

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