Casa Marina at Northridge, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

197605786 Issued in CA

Legal business name

CASA MARINA AT NORTHRIDGE, INC.

Practice address

17029 Romar St
Northridge, CA 91325-1640

Phone

(818) 349-3011

Fax

(818) 772-4240

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Olga Marina Alonzo

Title

President

Phone

(818) 554-3202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1568840379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17029 ROMAR ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251640",
            "telephone_number": "818-349-3011",
            "fax_number": "818-772-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17029 ROMAR ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251640",
            "telephone_number": "818-349-3011",
            "fax_number": "818-772-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA MARINA AT NORTHRIDGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "ALONZO",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-554-3202",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "197605786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jasmine Cartajena
• Jarod Carter
• Jon Griffin Carter, AMFT
• Michael Kelly Carter
• Renato Carter
• Casa Marina Residential Corp
• Carolyn Casada
• Erielda Casaya Hernandez
• Christina Casillas
• Marlene Carol Casselberry, LMFT

• Adult Care Home Facility in Northridge, CA
• Providers in Northridge, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.