Organization Active NPI

Little Company of Mary Subacute Care

  • Rehabilitation Hospital
  • Torrance, CA
National Provider Identifier
1326033184
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
HSP37720 Issued in CA
Legal business name
LITTLE COMPANY OF MARY SUBACUTE CARE
Practice address
3620 Lomita Blvd
Torrance, CA 90505-3938
Phone
(310) 791-4511
Fax
(310) 791-4512
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roger W Greenham, PHARM D
Title
Pharmacist in Charge/Manager
Phone
(310) 791-4511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X HSP37720 CA Primary

Addresses

Primary practice location

3620 Lomita Blvd
Torrance, CA 90505-3938

Mailing address

3620 Lomita Blvd
Torrance, CA 90505-3938
Phone (310) 791-4511

Other identifiers 2

IdentifierTypeStateIssuer
PHB377200MedicaidCA
0534102OtherNABP-3RD PARTY DRUG PROG

Other names 1

  • Bay Harbor Rehab Center Pharmacy Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326033184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 LOMITA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053938",
            "telephone_number": "310-791-4511",
            "fax_number": "310-791-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 LOMITA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053938",
            "telephone_number": "310-791-4511",
            "fax_number": "310-791-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE COMPANY OF MARY SUBACUTE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENHAM",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/MANAGER",
        "authorized_official_telephone_number": "310-791-4511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "CA",
            "license": "HSP37720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB377200",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP-3RD PARTY DRUG PROG",
            "identifier": "0534102",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Harbor Rehab Center Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Torrance, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.