Organization Active NPI

Catleya Health Services

  • Adult Day Care Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1255541017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CATLEYA HEALTH SERVICES
Practice address
1102 S Arrowhead Ave
San Bernardino, CA 92408-2020
Phone
(909) 381-9952
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elisa Rillo Gosuico
Title
Owner
Phone
(909) 381-9952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

1102 S Arrowhead Ave
San Bernardino, CA 92408-2020

Mailing address

1102 S Arrowhead Ave
San Bernardino, CA 92408-2020
Phone (909) 381-9952

Other names 1

  • SAN BERNARDINO ADULT DAY HEALTH CARE Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0993513San Bernardino Adult Day Health Care1102 S Arrowhead Avenue, San Bernardino, CA 92408Certificate of waiverNov 15, 2027

National Provider Directory

National Provider Directory

Locations

1102 S Arrowhead Ave
San Bernardino, CA 92408
Phone (909) 381-9952

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255541017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 S ARROWHEAD AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082020",
            "telephone_number": "909-381-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S ARROWHEAD AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082020",
            "telephone_number": "909-381-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATLEYA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOSUICO",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "RILLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-381-9952"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN BERNARDINO ADULT DAY HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.