MONTE VISTA GROVE HOMES NPI 1710531678

NPI Information

NPI: 1710531678
Provider Name: MONTE VISTA GROVE HOMES
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

CLIA Number: 05D0875245

Address:
2889 SAN PASQUAL ST
PASADENA, CA
ZIP 91107
Phone: (626) 796-6135
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MONTE VISTA GROVE HOMES is a rehabilitation clinic center in Pasadena, CA. MONTE VISTA GROVE HOMES NPI is 1710531678. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2889 SAN PASQUAL ST
PASADENA, CA
ZIP 91107-364
Phone: (626) 796-6135

The provider's authorized official is Kim Patrice Houser .
The authorized official title is Cfo and has the following contact phone number (626) 389-6436.

The CLIA number assigned to this NPI record is 05D0875245 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2019 and was last updated on 7/30/2019.

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	Primary
1	225100000X	Physical Therapist		No
2	225X00000X	Occupational Therapist		No
3	235Z00000X	Speech-Language Pathologist		No
4	261QR0400X	Clinic/Center	Rehabilitation	Yes

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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