NPIMap

Organization Active NPI

Monte Vista Grove Homes

  • Skilled Nursing Facility
  • Pasadena, CA
National Provider Identifier
1548347354
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
970000086 Issued in CA
Legal business name
MONTE VISTA GROVE HOMES
Practice address
2889 San Pasqual St
Pasadena, CA 91107-5364
Phone
(626) 796-6135
Fax
(626) 796-9753
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Ms. Kim P. Houser
Title
Controller
Phone
(626) 796-6135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 970000086 CA Primary

Addresses

Primary practice location

2889 San Pasqual St
Pasadena, CA 91107-5364

Mailing address

2889 San Pasqual St
Pasadena, CA 91107-5364
Phone (626) 796-6135

National Provider Directory

National Provider Directory

Locations

2889 San Pasqual St
Pasadena, CA 91107
Phone (626) 792-2712

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1548347354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 SAN PASQUAL ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075364",
            "telephone_number": "626-796-6135",
            "fax_number": "626-796-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 SAN PASQUAL ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075364",
            "telephone_number": "626-796-6135",
            "fax_number": "626-796-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE VISTA GROVE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "HOUSER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "626-796-6135",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 17, 2008; 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.