Our Lady Of Guadalupe in Glendale - Intermediate Care Facility, Intellectual Disabilities
Our Lady Of Guadalupe - NPI 1447224381
Our Lady Of Guadalupe is a Intermediate Care Facility, Intellectual Disabilities in Glendale, California. Our Lady Of Guadalupe practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Our Lady Of Guadalupe is 1447224381. The last update date is 2020-08-22.
Our Lady Of Guadalupe's current location address is 2311 E Chevy Chase Dr, Glendale, California. You can contact this provider via phone number 8054879757 and fax number 8054879757. The mailing address for Our Lady Of Guadalupe is 2311 E Chevy Chase Dr, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Our Lady Of Guadalupe |
|---|---|
| Address | 2311 E Chevy Chase Dr, Glendale, California |
| Phone Number | 8054879757 |
| Fax Number | 8054879757 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Velasco Norma |
| Credentials | PRESIDENT |
| Telephone Number | 8054879757 |
NPI Number Detail
| NPI Number | 1447224381 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2311 E Chevy Chase Dr |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912061811 |
| Phone Number | 8054879757 |
| Fax Number | 8054879757 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC60799F | CA | -- |
Post Comment/ Review Below
What is the Our Lady Of Guadalupe's unique identification number?
The Our Lady Of Guadalupe has been assigned the NPI (National Provider Identifier) Number 1447224381 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Our Lady Of Guadalupe's physical address?
The Our Lady Of Guadalupe is physically located at 2311 E Chevy Chase Dr, in the city of Glendale, CA, with the postal code 912061811.
What is Our Lady Of Guadalupe's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Our Lady Of Guadalupe's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Our Lady Of Guadalupe receive the assignment of its 1447224381 from the Centers for Medicare & Medicaid Services?
The Our Lady Of Guadalupe was issued its 1447224381 by the Centers for Medicare & Medicaid Services on 2006-02-15.
As of what date were the details related to Our Lady Of Guadalupe most recently updated or revised?
The information pertaining to Our Lady Of Guadalupe, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1457354235
Address: Po Box 636256 Central Credentialing, Cincinnati, OH