Casa de Amigos Community Respite Center, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CASA DE AMIGOS COMMUNITY RESPITE CENTER, INC.

Doing business as

Griffin's Gate

Practice address

528 Monterey St
Bakersfield, CA 93305-4305

Phone

(661) 633-0226

Fax

(661) 322-1532

NPI assigned

Sep 24, 2021

Last updated

Sep 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Arthur Reed

Title

Secretary/ Treasurer

Phone

(661) 428-8453

Specialties & licenses 1

Addresses

Other names 1

• Griffin's Gate Doing business as

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1023789468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 MONTEREY ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054305",
            "telephone_number": "661-633-0226",
            "fax_number": "661-322-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 MONTEREY ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054305",
            "telephone_number": "661-633-0226",
            "fax_number": "661-322-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE AMIGOS COMMUNITY RESPITE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "SECRETARY/ TREASURER",
        "authorized_official_telephone_number": "661-428-8453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griffin's Gate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Venisha Carter
• Michelle Leigh Cartier
• Alan Cartmell, M.D.
• Marisol Carvajal
• Jeremy Shawn Carver Jr.
• Mae Casabar-Urbano, NP
• Gilbert Campilla Casabar
• Jaime Casabar Jr.
• Sulema Casares
• Cheryl Casas

• Adult Care Home Facility in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.