Active NPI
Ellenbogen House
- Intellectual Disabilities Intermediate Care Facility
- Sunland, CA
National Provider Identifier
1437367646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- ELLENBOGEN HOUSE
- Practice address
- 7843 Ellenbogen St
Sunland, CA 91040-2213 - Phone
- (818) 352-9277
- Fax
- (626) 793-9847
- NPI assigned
- May 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edith Avanzado
- Title
- Licensee
- Phone
- (818) 352-9277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | CA | Primary |
Addresses
Primary practice location
7843 Ellenbogen St
Sunland, CA 91040-2213
Mailing address
1802 N Madison Ave
Pasadena, CA 91104-1236
Phone (818) 352-9277
National Provider Directory
National Provider Directory- Tax ID family
- Ellenbogen House
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Pasadena, CA
- NPI 1255549465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437367646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 N MADISON AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911041236",
"telephone_number": "818-352-9277",
"fax_number": "626-793-9847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7843 ELLENBOGEN ST",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910402213",
"telephone_number": "818-352-9277",
"fax_number": "626-793-9847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLENBOGEN HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AVANZADO",
"authorized_official_first_name": "EDITH",
"authorized_official_title_or_position": "LICENSEE",
"authorized_official_telephone_number": "818-352-9277"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunland, 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.