Ellenbogen House in Pasadena - Intermediate Care Facility, Intellectual Disabilities

Ellenbogen House - NPI 1437367646

Ellenbogen House is a Intermediate Care Facility, Intellectual Disabilities in Pasadena, California. Ellenbogen House practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Ellenbogen House is 1437367646. The last update date is 2020-08-22.

Ellenbogen House's current location address is 1802 N Madison Ave, Pasadena, California. You can contact this provider via phone number 8183529277 and fax number 6267939847. The mailing address for Ellenbogen House is 1802 N Madison Ave, Pasadena, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ellenbogen House
Address 1802 N Madison Ave, Pasadena, California
Phone Number 8183529277
Fax Number 6267939847
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LICENSEE
Authorized Official Name Avanzado Edith
Telephone Number 8183529277

NPI Number Detail

NPI Number 1437367646
Provider Enumeration Date 2007-05-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1802 N Madison Ave
City Pasadena
State California (CA)
Post Code 911041236
Phone Number 8183529277
Fax Number 6267939847

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.

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FAQs about Ellenbogen House

What is the Ellenbogen House's 1437367646?

The Ellenbogen House's NPI (National Provider Identifier) Number is 1437367646. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Ellenbogen House's facilities are situated?

The facilities of Ellenbogen House are physically located at the following address: 1802 N Madison Ave, Pasadena, CA, 911041236.

What is the area of specialization for Ellenbogen House, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ellenbogen House is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1437367646 to Ellenbogen House?

The Ellenbogen House received its 1437367646 assignment from the Centers for Medicare & Medicaid Services on 2007-05-19.

When was the information related to Ellenbogen House most recently updated or refreshed?

The details pertaining to the Ellenbogen House, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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