Integrated Community Options, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

INTEGRATED COMMUNITY OPTIONS, INC.

Doing business as

Casa De Madera RCFE

Practice address

324 Wapello St
Altadena, CA 91001-4445

Phone

(626) 926-3519

Fax

(626) 791-5551

NPI assigned

Nov 18, 2022

Organization subpart

No

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

Authorized official

Name

Dewalt Brown

Title

Ceo

Phone

(626) 926-3519

Specialties & licenses 1

Addresses

Other names 1

• Casa De Madera RCFE Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1427767342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93577",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911093577",
            "telephone_number": "626-926-3519",
            "fax_number": "626-791-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 WAPELLO ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014445",
            "telephone_number": "626-926-3519",
            "fax_number": "626-791-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Wapello St",
            "address_purpose": "LOCATION",
            "city": "Altadena",
            "state": "CA",
            "postal_code": "910014445",
            "country_code": "US",
            "telephone_number": "626-926-3519",
            "fax_number": "626-791-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED COMMUNITY OPTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEWALT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-926-3519"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "casamaderaliving.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "casamaderaliving.com",
            "address_1": "326 Wapello St",
            "city": "Altadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910014445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "casamaderaliving.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "casamaderaliving.com",
            "address_1": "324 Wapello St",
            "city": "Altadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910014445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Casa De Madera RCFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Altadena, CA
• Providers in Altadena, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.