The Compassionate Samaritan, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

360911118 Issued in CA

Legal business name

THE COMPASSIONATE SAMARITAN, INC

Practice address

3662 Ardilla Ave
Baldwin Park, CA 91706-5635

Phone

(626) 939-4433

Fax

(626) 698-4801

NPI assigned

Aug 27, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Allen Howard

Title

Chief Executive Officer

Phone

(626) 939-4433

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ardilla Residential Care Doing business as

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1407089295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 ARDILLA AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065635",
            "telephone_number": "626-939-4433",
            "fax_number": "626-698-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 ARDILLA AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065635",
            "telephone_number": "626-939-4433",
            "fax_number": "626-698-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMPASSIONATE SAMARITAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-939-4433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "360911118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "360911118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardilla Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny Chuang Wen Teng, MD
• Victoria Natalie Teo, NP
• Sydney Tuason Teodoro
• Kathleen Murray Teves, MD
• Kim D. Thai, MD
• Ju-En C Thlick
• Kevin Thu, RPH
• Elena Tiongco, RRT, NPS
• Leslie A. Tittle, MD
• Michelle Tiu, OD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.