Organization Active NPI

Bella Vista Retirement Home

  • Assisted Living Facility
  • Pasadena, CA
National Provider Identifier
1568756922
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
191220251 Issued in CA
Legal business name
BELLA VISTA RETIREMENT HOME
Practice address
1760 N Fair Oaks Ave
Pasadena, CA 91103-1617
Phone
(626) 794-4103
Fax
(626) 794-3614
NPI assigned
Jun 2, 2011
Last updated
Jun 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Mrs. Ann Hamilton
Title
Ceo
Phone
(626) 794-4103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 191220251 CA Primary

Addresses

Primary practice location

1760 N Fair Oaks Ave
Pasadena, CA 91103-1617

Mailing address

1760 N Fair Oaks Ave
Pasadena, CA 91103-1617
Phone (626) 794-4103

National Provider Directory

National Provider Directory
Tax ID family
Arbor Vista Retirement Home3 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.

Locations

1760 N Fair Oaks Ave
Pasadena, CA 91103
Phone (626) 794-4103

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1568756922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031617",
            "telephone_number": "626-794-4103",
            "fax_number": "626-794-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031617",
            "telephone_number": "626-794-4103",
            "fax_number": "626-794-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-794-4103",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "191220251",
            "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 Jun 2, 2011; 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.