Alhambra Convalescent Home, Inc

Organization Active NPI Assisted Living Facility · Alhambra, CA

NPI 1720087281 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1720087281
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
ALHAMBRA CONVALESCENT HOME, INC
Practice address
415 S Garfield Ave
Alhambra, CA 91801-3838
Phone
(626) 282-3151
Fax
(626) 281-4923
NPI assigned
Jul 18, 2005
Organization subpart
No

Authorized official

Name
Mr. Ben H Garrett Jr.
Title
Ceo
Phone
(626) 282-8431

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Alhambra Convalescent Home Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CA Yes

Addresses

Primary practice location

415 S Garfield Ave
Alhambra, CA 91801-3838

Mailing address

415 S Garfield Ave
Alhambra, CA 91801-3838
Phone (626) 282-3151

Other identifiers

IdentifierTypeStateIssuer
055760MedicaidCA

Other providers in Alhambra, CA

All providers in Alhambra, CA · Assisted Living Facility in California

Sources for this page

Verify at the official NPI Registry.