Active NPI
Catleya Health Services
- Adult Day Care Clinic/Center
- San Bernardino, CA
National Provider Identifier
1255541017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0993513 | San Bernardino Adult Day Health Care | Certificate of waiver | Nov 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.