NPIMap

Organization Active NPI

Villa Esperanza Services

  • Intellectual Disabilities Intermediate Care Facility
  • Pasadena, CA
National Provider Identifier
1467667154
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
VILLA ESPERANZA SERVICES
Practice address
443 N Craig Ave
Pasadena, CA 91107-2402
Phone
(626) 585-8528
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Kelly White
Title
Chief Operating Officer
Phone
(626) 449-2919

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 960000742 CA

Addresses

Primary practice location

443 N Craig Ave
Pasadena, CA 91107-2402

Mailing address

2116 E Villa St
Pasadena, CA 91107-2435
Phone (626) 449-2919

Other identifiers 1

IdentifierTypeStateIssuer
LTC60466FOtherCAMEDICAL

Other names 1

  • Stahl House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Villa Esperanza Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2116 E Villa St
Pasadena, CA 91107
Phone (626) 449-2919

443 N Craig Ave
Pasadena, CA 91107
Phone (626) 585-8528

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1467667154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 E VILLA ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072435",
            "telephone_number": "626-449-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 N CRAIG AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072402",
            "telephone_number": "626-585-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA ESPERANZA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "626-449-2919"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "960000742",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "LTC60466F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stahl House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.