Organization Active NPI

Robilyn Guest Home, Inc.

Doing business as Robilyn Guest Home

  • Intellectual Disabilities Intermediate Care Facility
  • Carson, CA
National Provider Identifier
1275749715
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
960001054 Issued in CA
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

Updated by the provider on Jun 20, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dba Robilyn Guest Home IV2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.