Organization Active NPI

Allen Care Convalescent Hospital Corporation

  • Skilled Nursing Facility
  • Glendale, CA
National Provider Identifier
1194062042
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ALLEN CARE CONVALESCENT HOSPITAL CORPORATION
Doing business as
ALLEN CARE CONVALESCENT HOSPITAL
Practice address
201 Allen Ave
Glendale, CA 91201-2803
Phone
(818) 845-8507
Fax
(818) 845-7910
NPI assigned
Jan 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Mrs. Crystal Solorzano
Title
Ceo
Phone
(323) 836-9397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

201 Allen Ave
Glendale, CA 91201-2803

Mailing address

107 W Lemon Ave
Monrovia, CA 91016-2809
Phone (626) 658-7344

Other identifiers 1

IdentifierTypeStateIssuer
ZZT0611MMedicaidCA

Other names 1

  • ALLEN CARE CONVALESCENT HOSPITAL Doing business as

National Provider Directory

National Provider Directory

Locations

513 S Myrtle Ave
Monrovia, CA 91016
Phone (845) 279-1785

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1194062042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W LEMON AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162809",
            "telephone_number": "626-658-7344",
            "fax_number": "323-846-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ALLEN AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012803",
            "telephone_number": "818-845-8507",
            "fax_number": "818-845-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN CARE CONVALESCENT HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "SOLORZANO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-836-9397",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT0611M",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEN CARE CONVALESCENT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLEN CARE CONVALESCENT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.