NPIMap

Organization Active NPI

Casa Colina Centers for Rehabilitation, Inc.

  • Physical Disabilities Residential Treatment Facility
  • Pomona, CA
National Provider Identifier
1508004979
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
191593695 Issued in CA
Legal business name
CASA COLINA CENTERS FOR REHABILITATION, INC.
Practice address
255 E Bonita Ave
Pomona, CA 91767-1923
Phone
(909) 596-7733
Fax
(909) 593-7541
NPI assigned
Jan 23, 2009
Organization subpart
Yes
Parent organization
CASA COLINA CENTERS FOR REHABILITATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Mr. Rodney Peek
Title
Vice President
Phone
(909) 596-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 191593695 CA Primary

Addresses

Primary practice location

255 E Bonita Ave
Pomona, CA 91767-1923

Mailing address

255 E Bonita Ave
Pomona, CA 91767-1923
Phone (909) 596-7733

Other names 1

  • Casa Colina Home & Community Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Casa Colina Centers for Rehabilitation Inc4 organizations share this tax ID, including this one
Part of
Casa Colina Centers for Rehabilitation Inc

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1508004979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-596-7733",
            "fax_number": "909-593-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-596-7733",
            "fax_number": "909-593-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA COLINA CENTERS FOR REHABILITATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASA COLINA CENTERS FOR REHABILITATION, INC.",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "PEEK",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "909-596-7733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "191593695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Colina Home & Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.