NPIMap

Organization Active NPI

Community Education Associates, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Pomona, CA
National Provider Identifier
1003962770
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
960001403 Issued in CA
Legal business name
COMMUNITY EDUCATION ASSOCIATES, INC
Practice address
1762 Storrs PL
Pomona, CA 91766-4131
Phone
(909) 868-0408
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lilly Daniel
Title
Ceo
Phone
(909) 224-4581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 960001403 CA Primary

Addresses

Primary practice location

1762 Storrs PL
Pomona, CA 91766-4131

Mailing address

PO Box 98
Chino Hills, CA 91709-0004
Phone (909) 224-4581

Other identifiers 1

IdentifierTypeStateIssuer
LTC61035FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Community Education Associates Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1003962770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917090004",
            "telephone_number": "909-224-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 STORRS PL",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664131",
            "telephone_number": "909-868-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY EDUCATION ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "LILLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-224-4581",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960001403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC61035F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.