South Pasadena Convalescent Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTH PASADENA CONVALESCENT INC.

Practice address

904 Mission St
S Pasadena, CA 91030-3144

Phone

(626) 799-9571

NPI assigned

Jul 12, 2007

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Guy Reggev

Title

Administrator

Phone

(626) 799-9571

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1740489459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 MISSION ST",
            "city": "S PASADENA",
            "state": "CA",
            "postal_code": "910303144",
            "telephone_number": "626-799-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 MISSION ST",
            "city": "S PASADENA",
            "state": "CA",
            "postal_code": "910303144",
            "telephone_number": "626-799-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PASADENA CONVALESCENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "REGGEV",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-799-9571"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in S Pasadena, CA
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• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.