VILLA ESPERANZA SERVICES NPI 1467667154

NPI Information

NPI: 1467667154
Provider Name: VILLA ESPERANZA SERVICES

Doing Business As: STAHL HOUSE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
443 N CRAIG AVE
PASADENA, CA
ZIP 91107
Phone: (626) 585-8528
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VILLA ESPERANZA SERVICES is an intermediate care facility mentally retarded in Pasadena, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. VILLA ESPERANZA SERVICES NPI is 1467667154. The provider is registered as an organization entity type.
The provider Is Doing Business As Stahl House.

The provider's business location address is:

443 N CRAIG AVE
PASADENA, CA
ZIP 91107-402
Phone: (626) 585-8528

The provider's authorized official is Kelly White .
The authorized official title is Chief Operating Officer and has the following contact phone number (626) 449-2919.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 2/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		960000742	CALIFORNIA	No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LTC60466F	OTHER	CALIFORNIA	MEDICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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