Organization Active NPI

Norwalk Villas, Inc.

Doing business as Norwalk Villas I & II

  • Nursing Home Administrator
  • Norwalk, CA
National Provider Identifier
1659146702
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
Legal business name
NORWALK VILLAS, INC.
Doing business as
Norwalk Villas I & II
Practice address
12121 164TH St
Norwalk, CA 90650-7247
Phone
(818) 395-6037
Fax
(818) 301-0042
NPI assigned
Nov 20, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Jing Daisy Struve
Title
Owner
Phone
(818) 395-6037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home AdministratorGroup: 193400000X SINGLE SPECIALTY GROUP 376G00000X Primary

Addresses

Primary practice location

12121 164TH St
Norwalk, CA 90650-7247

Mailing address

12121 164TH St
Norwalk, CA 90650-7247
Phone (818) 395-6037

Other practice location 1

15218 Wilder Ave
Norwalk, CA 90650-6833
Phone (818) 395-6037

Other names 1

  • Norwalk Villas I & II Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1659146702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 164TH ST",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906507247",
            "telephone_number": "818-395-6037",
            "fax_number": "818-301-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 164TH ST",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906507247",
            "telephone_number": "818-395-6037",
            "fax_number": "818-301-0042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15218 Wilder Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906506833",
            "country_code": "US",
            "telephone_number": "818-395-6037",
            "fax_number": "818-301-0042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORWALK VILLAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-19",
        "status": "A",
        "authorized_official_last_name": "STRUVE",
        "authorized_official_first_name": "JING",
        "authorized_official_middle_name": "DAISY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-395-6037"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norwalk Villas I & II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.