Organization Active NPI

Renewed Life Treatment Center. Inc

  • Case Management Agency
  • Pasadena, CA
National Provider Identifier
1154578904
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RENEWED LIFE TREATMENT CENTER. INC
Practice address
1855 E Colorado Blvd
BLDG. B
Pasadena, CA 91107-3554
Phone
(626) 793-0519
NPI assigned
Aug 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Mrs. Stella Ogbeide, RN
Title
Executive Director
Phone
(626) 793-0519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CA Primary

Addresses

Primary practice location

1855 E Colorado Blvd
BLDG. B
Pasadena, CA 91107-3554

Mailing address

1855 E Colorado Blvd
BLDG. B
Pasadena, CA 91107-3554
Phone (626) 793-0519

National Provider Directory

National Provider Directory

Locations

1855 E Colorado Blvd
Bldg B
Pasadena, CA 91107
Phone (626) 793-0519

NPI Registry JSON

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

{
    "created_epoch": "1219449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1154578904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 E COLORADO BLVD",
            "address_2": "BLDG. B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073554",
            "telephone_number": "626-793-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 E COLORADO BLVD",
            "address_2": "BLDG. B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073554",
            "telephone_number": "626-793-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED LIFE TREATMENT CENTER. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-23",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "OGBEIDE",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-793-0519",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.