NPIMap

Organization Active NPI

Villa Esperanza Services

  • Developmentally Disabled Services Day Training Agency
  • Pasadena, CA
National Provider Identifier
1265739577
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
4968 Issued in CA
Legal business name
VILLA ESPERANZA SERVICES
Practice address
2116 E Villa St
Pasadena, CA 91107-2435
Phone
(626) 449-2919
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Kelly White, MFC
Title
Ceo
Phone
(626) 449-2919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 4968 CA Primary

Addresses

Primary practice location

2116 E Villa St
Pasadena, CA 91107-2435

Mailing address

2060 E Villa St
Pasadena, CA 91107-2340
Phone (626) 449-2919

Other identifiers 2

IdentifierTypeStateIssuer
LTC60466FMedicaidCA
LTC60552FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Villa Esperanza Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2060 E Villa St
Pasadena, CA 91107
Phone (626) 795-8355

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1265739577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 E VILLA ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072340",
            "telephone_number": "626-449-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 E VILLA ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072435",
            "telephone_number": "626-449-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA ESPERANZA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-449-2919",
        "authorized_official_credential": "MFC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "4968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60466F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60552F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.