Sage House Adult Day Care Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

198600603 Issued in CA

Legal business name

SAGE HOUSE ADULT DAY CARE CENTER

Practice address

138 S Bandini St
San Pedro, CA 90731-2321

Phone

(310) 832-6031

Fax

(310) 832-6677

NPI assigned

Sep 24, 2010

Last updated

Sep 24, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

THE SALVATION ARMYAs reported in NPPES

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

Authorized official

Name

Mr. Gerald Lewis Hardin, BSM

Title

Exec. Director

Phone

(310) 832-6031

Specialties & licenses 1

Addresses

Tax ID family

Sage House Adult Day Care Center3 organizations share this tax ID, including this one

Part of

The Salvation Army a California Corp

Other organizations with this tax ID 2

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

• The Salvation Army

  • Voluntary or Charitable Agency
  • Santa Barbara, CA
  • NPI 1902930365
  NPD tax ID
• The Salvation Army Torrance Corps

  • Adult Day Care Clinic/Center
  • Torrance, CA
  • NPI 1508166612
  NPD tax ID

Locations

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1649589623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S BANDINI ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312321",
            "telephone_number": "310-832-6031",
            "fax_number": "310-832-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S BANDINI ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312321",
            "telephone_number": "310-832-6031",
            "fax_number": "310-832-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE HOUSE ADULT DAY CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SALVATION ARMY",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "310-832-6031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSM"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "198600603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rustin Wilson Chiropractic Corporation
• Ryan Chang, DDS Inc
• Marc Pierson Ryan, L.AC.
• Nina Sabet-Peyman, M.D.
• Saeed Malekafzali, MD, Inc.
• Sahawneh Dental Corporation (Bright Now Dental - San Pedro)
• Sahawneh Dental Corporation (Bright Now Dental San Pedro)
• Maria Jessie Salas
• Teresa Saldana
• Dafne Ileana Salgado Jovel

• Adult Day Care Clinic/Center in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.