Villa Celerina

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

198205167 Issued in CA

Legal business name

VILLA CELERINA

Practice address

19208 Sheryl Ave
Cerritos, CA 90703-6622

Phone

(562) 860-0189

Fax

(562) 865-0719

NPI assigned

Feb 3, 2015

Organization subpart

No

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

Authorized official

Name

Merlyn M Evangelista

Title

Administrator

Phone

(562) 822-3662

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1083004683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19208 SHERYL AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036622",
            "telephone_number": "562-860-0189",
            "fax_number": "562-865-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19208 SHERYL AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036622",
            "telephone_number": "562-860-0189",
            "fax_number": "562-865-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA CELERINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "MERLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-822-3662"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "198205167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Vennamaneni
• Jesus Vera
• Maria Vera
• Noemi Vera
• Keith Hardrick Vielle, SUDCC 6465
• Blanca Villa
• Edgar Antonio Villa, LCSW
• Kenya Villacorta, BS
• Thea Villanueva, NP
• Cindy Villaverde

• Assisted Living Facility in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.