Cedacal, LLC.

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

Legal business name

CEDACAL, LLC.

Practice address

5663 Cedarglen Dr
Azusa, CA 91702-5007

Phone

(626) 373-6211

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Rowie Jucal

Title

Administrator/RN

Phone

(626) 373-6211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1346711504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5663 CEDARGLEN DR",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917025007",
            "telephone_number": "626-373-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5663 CEDARGLEN DR",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917025007",
            "telephone_number": "626-373-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDACAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "JUCAL",
        "authorized_official_first_name": "ROWIE",
        "authorized_official_title_or_position": "ADMINISTRATOR/RN",
        "authorized_official_telephone_number": "626-373-6211"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.