MONTEBELLO ADULT DAY HEALTH CARE INC. NPI 1891823282

NPI Information

NPI: 1891823282
Provider Name: MONTEBELLO ADULT DAY HEALTH CARE INC.

Doing Business As: ST. MARY'S ADHC

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1829 S BRAND BLVD
GLENDALE, CA
ZIP 91204
Phone: (818) 543-5900
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MONTEBELLO ADULT DAY HEALTH CARE INC. is an adult day care clinic center in Glendale, CA. MONTEBELLO ADULT DAY HEALTH CARE INC. NPI is 1891823282. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Mary's Adhc.

The provider's business location address is:

1829 S BRAND BLVD
GLENDALE, CA
ZIP 91204-902
Phone: (818) 543-5900

The provider's authorized official is Alber Karamanoukian .
The authorized official title is Ceo and has the following contact phone number (818) 543-5900.

The CLIA number assigned to this NPI record is 05D1014135 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/22/2020.

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	261QA0600X	Clinic/Center	Adult Day Care		CALIFORNIA	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	ADU70359F	MEDICAID	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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