Baldwin Park Congregate Home Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

550002799 Issued in CA

Legal business name

BALDWIN PARK CONGREGATE HOME INC

Practice address

3462 Vineland Ave
Baldwin Park, CA 91706-5314

Phone

(626) 960-6500

Fax

(626) 960-4500

NPI assigned

Sep 2, 2014

Last updated

Sep 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Armando Elegio Edang, RNNPI 1417358631

Title

Administrator/Director of Nursing

Phone

(909) 908-0846

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Armando Edang, RN

  • Registered Nurse
  • Walnut, CA
  • NPI 1417358631
  Authorized official Same address or phone

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1194125658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3462 VINELAND AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065314",
            "telephone_number": "626-960-6500",
            "fax_number": "626-960-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3462 VINELAND AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065314",
            "telephone_number": "626-960-6500",
            "fax_number": "626-960-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN PARK CONGREGATE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "EDANG",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "ELEGIO",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "909-908-0846",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "550002799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Bahadosingh, MD
• Brenda R Bailey, PA
• Nancy M. Baisch, MD
• James E. Baker, MD
• Wyleen Ortiz Baldovino, PHARMD
• Baldwin Park Dental (David Kutner a dental Corp)
• Baldwin Park Family Dental
• Baldwin Park Hospice Inc
• Baldwin Park Medical Center
• Baldwin Park Medical Center Inc

• Adult Care Home Facility in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.