NPIMap

Organization Active NPI

Pax House LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Altadena, CA
National Provider Identifier
1508100603
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PAX HOUSE LLC
Practice address
324 Wapello St
Altadena, CA 91001-4445
Phone
(626) 398-3897
Fax
(626) 243-4425
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Mrs. Marcia Louise Burnett
Title
Coo
Phone
(626) 398-3897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X CA Primary

Addresses

Primary practice location

324 Wapello St
Altadena, CA 91001-4445

Mailing address

324 Wapello St
Altadena, CA 91001-4445
Phone (626) 398-3897

National Provider Directory

National Provider Directory
Tax ID family
Pax House Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1508100603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 WAPELLO ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014445",
            "telephone_number": "626-398-3897",
            "fax_number": "626-243-4425"
        },
        {
            "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": "626-398-3897",
            "fax_number": "626-243-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "626-398-3897",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.