NPIMap

Organization Active NPI

Martha's Village and Kitchen

  • Rehabilitation Clinic/Center
  • Indio, CA
National Provider Identifier
1750508818
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MARTHA'S VILLAGE AND KITCHEN
Practice address
83791 Date Ave
Indio, CA 92201-4737
Phone
(760) 347-4741
Fax
(760) 342-2294
NPI assigned
Apr 19, 2007
Last updated
Sep 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Jonathan Carl Kalkwarf
Title
Senior Director of Finance
Phone
(760) 347-4741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

83791 Date Ave
Indio, CA 92201-4737

Mailing address

83791 Date Ave
Indio, CA 92201-4737
Phone (760) 347-4741

Other names 1

  • Father Joe's Villages Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tquesti@marthasvillage.org Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Father Joe's Villages2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1750508818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83791 DATE AVE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014737",
            "telephone_number": "760-347-4741",
            "fax_number": "760-342-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83791 DATE AVE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014737",
            "telephone_number": "760-347-4741",
            "fax_number": "760-342-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA'S VILLAGE AND KITCHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "KALKWARF",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "760-347-4741"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tquesti@marthasvillage.org",
            "affiliation": "N",
            "endpointDescription": "Registered Nurse Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "83791 Date Ave",
            "city": "Indio",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922014737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Father Joe's Villages",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.