Active NPI
Emmanuel Health Care
- Skilled Nursing Facility
- Glendora, CA
National Provider Identifier
1508848730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- EMMANUEL HEALTH CARE
- Practice address
- 805 W Arrow Hwy
Glendora, CA 91740 - Phone
- (626) 331-0781
- Fax
- (626) 332-8835
- NPI assigned
- Nov 15, 2005
- 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
- Karen Mason
- Title
- Executive Director
- Phone
- (626) 331-0781
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Primary |
Addresses
Primary practice location
805 W Arrow Hwy
Glendora, CA 91740
Mailing address
805 W Arrow Hwy
Glendora, CA 91740
Phone (626) 331-0781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT06079J | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Emmanuel Health Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- West Covina, CA
- NPI 1093746687
-
- Skilled Nursing Facility
- Norwalk, CA
- NPI 1922089697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508848730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 W ARROW HWY",
"city": "GLENDORA",
"state": "CA",
"postal_code": "91740",
"telephone_number": "626-331-0781",
"fax_number": "626-332-8835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W ARROW HWY",
"city": "GLENDORA",
"state": "CA",
"postal_code": "91740",
"telephone_number": "626-331-0781",
"fax_number": "626-332-8835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMMANUEL HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MASON",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "626-331-0781"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT06079J",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
- Emanate Health Foothill Presbyterian Hospital
- Emanate Health Foothill Presbyterian Hospital
- Emanate Health Imaging
- Emanate Health Medical Group
- Emergency Physicians at FPH, a Medical Corporation
- Encore Home Health
- Enna Home Health Care
- Ensign San Dimas LLC
- Cheryl Ann Ensign
- Epic Home Health Care, Inc.
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.