NPIMap

Organization Active NPI

Temple Garden Homes 3

  • Intellectual Disabilities Intermediate Care Facility
  • Temple City, CA
National Provider Identifier
1083752810
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
960001007 Issued in CA
Legal business name
TEMPLE GARDEN HOMES 3
Practice address
9556 Broadway
Temple City, CA 91780-3135
Phone
(626) 292-1952
Fax
(626) 286-4402
NPI assigned
Feb 2, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Florencia I. Pilpa I, RN, MS
Title
Ceo
Phone
(626) 444-2836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 960001007 CA Primary

Addresses

Primary practice location

9556 Broadway
Temple City, CA 91780-3135

Mailing address

5120 Baldwin Ave
Temple City, CA 91780-3901
Phone (626) 444-2836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083752810. Details of each certification follow.

  • CCN 55G174 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G174

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TEMPLE GARDEN HOMES #3
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 17, 1998
Last certification
Jan 15, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
9556 Broadway
Temple City, CA 91780

National Provider Directory

National Provider Directory
Tax ID family
Temple Garden Home 32 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1083752810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 BALDWIN AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917803901",
            "telephone_number": "626-444-2836",
            "fax_number": "626-444-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9556 BROADWAY",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917803135",
            "telephone_number": "626-292-1952",
            "fax_number": "626-286-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE GARDEN HOMES 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PILPA",
        "authorized_official_first_name": "FLORENCIA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-444-2836",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "RN, MS"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960001007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

Verify at the official NPI Registry.