NPIMap

Organization Active NPI

Casa Carmen Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Glendora, CA
National Provider Identifier
1649617457
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
197607265 Issued in CA
Legal business name
CASA CARMEN INC.
Practice address
333 W Dawson Ave
Glendora, CA 91740-5018
Phone
(626) 335-8533
NPI assigned
Jun 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Mr. Morris Zyskind
Title
President
Phone
(626) 858-9615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 197607265 CA Primary

Addresses

Primary practice location

333 W Dawson Ave
Glendora, CA 91740-5018

Mailing address

PO Box 2236
Glendora, CA 91740-2236
Phone (626) 858-9615

National Provider Directory

National Provider Directory
Tax ID family
Casa Carmen Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1649617457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2236",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917402236",
            "telephone_number": "626-858-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W DAWSON AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405018",
            "telephone_number": "626-335-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA CARMEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "ZYSKIND",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-858-9615",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "197607265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.