Casa Edithafoundation Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

191222785 Issued in CA

Legal business name

CASA EDITHAFOUNDATION INC.

Practice address

1756 N Hill Ave
Pasadena, CA 91104-1429

Phone

(626) 794-3916

Fax

(626) 696-3929

NPI assigned

Nov 15, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Edith Avanzado, R.D.

Title

Executive Director

Phone

(626) 374-7294

Specialties & licenses 1

Addresses

Other names 1

• Avalyn's Group Home Doing business as

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1093257545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 N HILL AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041429",
            "telephone_number": "626-794-3916",
            "fax_number": "626-696-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 N HILL AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041429",
            "telephone_number": "626-794-3916",
            "fax_number": "626-696-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA EDITHAFOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "AVANZADO",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-374-7294",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "191222785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalyn's Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sofia Carvajal
• Casa de Las Amigas
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• Casa de Las Amigas
• Casa de Las Amigas
• Casa Treatment Center
• Elizabeth Casalegno, M.D.
• Eliana N/a Casas
• Gabriela Casas
• Israel Casas I

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.