St. Agnes Homes Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ST. AGNES HOMES INC.

Doing business as

Sunny Slopes at St. Agnes Home II

Practice address

1081 Concord Way
La Habra, CA 90631-6241

Phone

(562) 842-7539

NPI assigned

Oct 25, 2023

Last updated

Oct 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ines Otbo

Title

Administrator

Phone

(562) 842-7539

Specialties & licenses 1

Addresses

Other names 1

• Sunny Slopes at St. Agnes Home II Doing business as

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1629840483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 CONCORD WAY",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316241",
            "telephone_number": "562-842-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 CONCORD WAY",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316241",
            "telephone_number": "562-842-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. AGNES HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "OTBO",
        "authorized_official_first_name": "INES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-842-7539"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Slopes at St. Agnes Home II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in La Habra, CA
• Providers in La Habra, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.