Active NPI
Route 66 Post Acute LLC
- Skilled Nursing Facility
- Glendora, CA
National Provider Identifier
1710469663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 950000026
- Legal business name
- ROUTE 66 POST ACUTE LLC
- Practice address
- 638 E Colorado Ave
Glendora, CA 91740-4422 - Phone
- (626) 963-6091
- Fax
- (626) 335-4415
- NPI assigned
- Sep 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Solorzano
- Title
- Manager
- Phone
- (626) 346-0300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 950000026 | CA | Primary |
Addresses
Primary practice location
638 E Colorado Ave
Glendora, CA 91740-4422
Mailing address
107 W Lemon Ave
Monrovia, CA 91016-2809
Phone (323) 836-9397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT05676G | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536192000000",
"number": "1710469663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W LEMON AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910162809",
"telephone_number": "323-836-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 E COLORADO AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404422",
"telephone_number": "626-963-6091",
"fax_number": "626-335-4415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROUTE 66 POST ACUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-06",
"last_updated": "2018-09-06",
"status": "A",
"authorized_official_last_name": "SOLORZANO",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "626-346-0300"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "950000026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT05676G",
"state": "CA"
}
],
"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 Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.