NPIMap

Organization Active NPI

Redwood Senior Homes and Services

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Escondido, CA
National Provider Identifier
1629045158
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
060000563 Issued in CA
Legal business name
REDWOOD SENIOR HOMES AND SERVICES
Practice address
1151 South Redwood Street
Escondido, CA 92025-5614
Phone
(760) 480-1030
Fax
(760) 737-0170
NPI assigned
Mar 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
David L Pierce
Title
VP & Cfo
Phone
(818) 247-0420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 060000563 CA Primary

Addresses

Primary practice location

1151 South Redwood Street
Escondido, CA 92025-5614

Mailing address

516 Burchett Street
Glendale, CA 91203-1014
Phone (818) 247-0420

Other names 1

  • Redwood Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Humangood Socal7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1629045158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BURCHETT STREET",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031014",
            "telephone_number": "818-247-0420",
            "fax_number": "818-247-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 SOUTH REDWOOD STREET",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920255614",
            "telephone_number": "760-480-1030",
            "fax_number": "760-737-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD SENIOR HOMES AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "818-247-0420"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": "060000563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.