NPIMap

Organization Active NPI

Casa Colina Centers for Rehabilitation, Inc.

  • Adult Care Home Facility
  • Apple Valley, CA
National Provider Identifier
1295054583
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
366405765 Issued in CA
Legal business name
CASA COLINA CENTERS FOR REHABILITATION, INC.
Practice address
22200 Highway 18
Apple Valley, CA 92307
Phone
(760) 247-7711
Fax
(760) 247-7354
NPI assigned
May 26, 2010
Organization subpart
Yes
Parent organization
CASA COLINA CENTERS FOR REHABILITATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Dr. Peter Joseph Gasperoni, PH.D.
Title
Director, Managed Care
Phone
(909) 450-0105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 366405765 CA Primary

Addresses

Primary practice location

22200 Highway 18
Apple Valley, CA 92307

Mailing address

22200 US Highway 18
Apple Valley, CA 92307-3948
Phone (760) 247-7711

Other names 1

  • Padua Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Casa Colina Centers for Rehabilitation Inc4 organizations share this tax ID, including this one
Part of
Casa Colina Centers for Rehabilitation Inc

Other organizations with this tax ID 3

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

Locations

22200 US Highway 18
Apple Valley, CA 92307

22200 Outer Highway 18
Apple Valley, CA 92307
Phone (760) 247-7711

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1295054583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22200 US HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923073948",
            "telephone_number": "760-247-7711",
            "fax_number": "760-247-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22200 HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-247-7711",
            "fax_number": "760-247-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA COLINA CENTERS FOR REHABILITATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASA COLINA CENTERS FOR REHABILITATION, INC.",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "GASPERONI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE",
        "authorized_official_telephone_number": "909-450-0105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "366405765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Padua Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.