Organization Active NPI

Edelweiss Home Inc.

  • Assisted Living Facility
  • Goleta, CA
National Provider Identifier
1376784553
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
425801560 Issued in CA
Legal business name
EDELWEISS HOME INC.
Practice address
7067 Armstrong Road
Goleta, CA 93117
Phone
(805) 845-5447
Fax
(805) 845-6020
NPI assigned
Mar 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Mrs. Mildred Hug-Demonteverde
Title
Vice-President/Administrator
Phone
(805) 845-5447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 425801560 CA Primary

Addresses

Primary practice location

7067 Armstrong Road
Goleta, CA 93117

Mailing address

7067 Armstrong Road
Goleta, CA 93117
Phone (805) 845-5447

Other names 1

  • Edelweiss Home for the Elderly Other name

National Provider Directory

National Provider Directory
Tax ID family
Edelweiss Home2 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": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1376784553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7067 ARMSTRONG ROAD",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "93117",
            "telephone_number": "805-845-5447",
            "fax_number": "805-845-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 ARMSTRONG ROAD",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "93117",
            "telephone_number": "805-845-5447",
            "fax_number": "805-845-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDELWEISS HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "HUG-DEMONTEVERDE",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "VICE-PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "805-845-5447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "425801560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edelweiss Home for the Elderly",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Goleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.