Organization Active NPI

Spring Adult Day Health Care, Inc

  • Public Health or Welfare Agency
  • Walnut, CA
National Provider Identifier
1245444264
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
060000934 Issued in CA
Legal business name
SPRING ADULT DAY HEALTH CARE, INC
Practice address
19648 Camino de Rosa
Walnut, CA 91789-2103
Phone
(626) 965-7833
Fax
(626) 964-5483
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Kyung Jo
Title
Owner
Phone
(213) 505-3088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 060000934 CA Primary

Addresses

Primary practice location

19648 Camino de Rosa
Walnut, CA 91789-2103

Mailing address

19648 Camino de Rosa
Walnut, CA 91789-2103
Phone (626) 965-7833

Other identifiers 1

IdentifierTypeStateIssuer
060000934MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1245444264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19648 CAMINO DE ROSA",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892103",
            "telephone_number": "626-965-7833",
            "fax_number": "626-964-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19648 CAMINO DE ROSA",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892103",
            "telephone_number": "626-965-7833",
            "fax_number": "626-964-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING ADULT DAY HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "JO",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-505-3088"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "060000934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060000934",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.