Active NPI
Santa Teresita Rehabilitation Agency
- Rehabilitation Clinic/Center
- Duarte, CA
National Provider Identifier
1629222856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- SANTA TERESITA REHABILITATION AGENCY
- Practice address
- 819 Buena Vista St
Duarte, CA 91010-1703 - Phone
- (626) 932-3439
- Fax
- (626) 358-5083
- NPI assigned
- Nov 14, 2008
- Organization subpart
- Yes
- Parent organization
- SANTA TERESITA, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madonna Joseph Seltzer
- Title
- Chief Executive Officer
- Phone
- (626) 359-3243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
819 Buena Vista St
Duarte, CA 91010-1703
Mailing address
819 Buena Vista St
Duarte, CA 91010-1703
Phone (626) 932-3439
National Provider Directory
National Provider Directory- Part of
- Santa Teresita Hospital
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Duarte, CA
- NPI 1912992637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226620800000",
"number": "1629222856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 BUENA VISTA ST",
"city": "DUARTE",
"state": "CA",
"postal_code": "910101703",
"telephone_number": "626-932-3439",
"fax_number": "626-358-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 BUENA VISTA ST",
"city": "DUARTE",
"state": "CA",
"postal_code": "910101703",
"telephone_number": "626-932-3439",
"fax_number": "626-358-5083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA TERESITA REHABILITATION AGENCY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SANTA TERESITA, INC.",
"enumeration_date": "2008-11-14",
"last_updated": "2008-11-14",
"status": "A",
"authorized_official_last_name": "SELTZER",
"authorized_official_first_name": "MADONNA JOSEPH",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "626-359-3243"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.