Icc Convalescent LLC
Icc Convalescent LLC is a healthcare organization registered as Skilled Nursing Facility in Studio City, CA, holding Type 2 (organization) NPI 1265502405 since 2006. The authorized official on file is Ira Friedman, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265502405 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Icc Convalescent LLC |
| Other name | <Unavail> |
| Practice address | 11441 VENTURA BLVD, Studio City, CA, 91604 |
| Phone | 8189808200 |
| Fax | 8189802234 |
| Enumeration date | 2006-11-08 |
| Last updated in NPPES | 2023-09-29 |
Authorized official
| Name | Ira Friedman |
|---|---|
| Title | Manager |
| Phone | 2133896900 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 920000042 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT05418G | Medicaid | CA | — |
Copy-ready billing details
Provider: Icc Convalescent LLC NPI: 1265502405 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 11441 VENTURA BLVD, Studio City, CA, 91604
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104466325 | Edelisa Rose Episcope | Individual | Physical Therapist | Studio City, CA |
| 1427903368 | Nicholas Shorty | Individual | Occupational Therapy Assistant | Studio City, CA |
Verify this record
Cross-check NPI 1265502405 against the authoritative CMS record: view Icc Convalescent LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Icc Convalescent LLC?
What is the NPI number for Icc Convalescent LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-29.