Carsons Elite Group Adhc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

CARSONS ELITE GROUP ADHC

Practice address

1132 Vista RDG
Burbank, CA 91504-1929

Phone

(619) 414-4530

NPI assigned

Jun 7, 2022

Organization subpart

No

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

Authorized official

Name

Cynthia Sundberg, MHCA

Title

Consultant

Phone

(619) 414-4530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1497484224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 VISTA RDG",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041929",
            "telephone_number": "619-414-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 VISTA RDG",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041929",
            "telephone_number": "619-414-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSONS ELITE GROUP ADHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "SUNDBERG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "619-414-4530",
        "authorized_official_credential": "MHCA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Burbank, CA
• Providers in Burbank, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.