Organization Active NPI

Maralit Residential Villa Inc.

  • Assisted Living Facility
  • San Dimas, CA
National Provider Identifier
1558190850
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MARALIT RESIDENTIAL VILLA INC.
Practice address
1301 N Birchnell Ave
San Dimas, CA 91773-1003
Phone
(626) 454-0677
NPI assigned
Jul 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Ms. Teresita Maralit
Title
Administrator
Phone
(626) 454-0677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1301 N Birchnell Ave
San Dimas, CA 91773-1003

Mailing address

1301 N Birchnell Ave
San Dimas, CA 91773-1003
Phone (626) 454-0677

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1558190850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N BIRCHNELL AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731003",
            "telephone_number": "626-454-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N BIRCHNELL AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731003",
            "telephone_number": "626-454-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARALIT RESIDENTIAL VILLA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "MARALIT",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-454-0677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.