Active NPI
Robilyn Guest Home, Inc.
Doing business as Robilyn Guest Home
- Intellectual Disabilities Intermediate Care Facility
- Carson, CA
National Provider Identifier
1275749715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 960001054
- Legal business name
- ROBILYN GUEST HOME, INC.
- Doing business as
- Robilyn Guest Home
- Practice address
- 22237 Catskill Avenue
Carson, CA 90745 - Phone
- (310) 830-7231
- Fax
- (310) 830-2581
- NPI assigned
- May 14, 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
- Mrs. Erlinda Reynolds
- Title
- Licensee
- Phone
- (310) 830-7231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 960001054 | CA | Primary |
Addresses
Primary practice location
22237 Catskill Avenue
Carson, CA 90745
Mailing address
2882 Muir Trail Drive
Fullerton, CA 92833
Phone (310) 830-7231
Other names 1
- Robilyn Guest Home
National Provider Directory
National Provider Directory- Tax ID family
- Dba Robilyn Guest Home IV
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Claremont, CA
- NPI 1558472019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1275749715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2882 MUIR TRAIL DRIVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92833",
"telephone_number": "310-830-7231",
"fax_number": "310-830-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22237 CATSKILL AVENUE",
"city": "CARSON",
"state": "CA",
"postal_code": "90745",
"telephone_number": "310-830-7231",
"fax_number": "310-830-2581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBILYN GUEST HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "ERLINDA",
"authorized_official_title_or_position": "LICENSEE",
"authorized_official_telephone_number": "310-830-7231",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": "960001054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Robilyn Guest Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.