Saint Paul Congregate Living

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAINT PAUL CONGREGATE LIVING

Practice address

2721 Tory St
West Covina, CA 91792-1947

Phone

(323) 445-7202

NPI assigned

Oct 11, 2024

Organization subpart

No

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

Authorized official

Name

Paul Ortiz-Luis

Title

Administrator

Phone

(323) 445-7202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1710707104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 BAGHDADY ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928798264",
            "telephone_number": "323-445-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 TORY ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921947",
            "telephone_number": "323-445-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT PAUL CONGREGATE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-LUIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-445-7202"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.