Rosecrans Villa Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ROSECRANS VILLA INC

Practice address

14110 Cordary Ave
Hawthorne, CA 90250-8005

Phone

(310) 675-9163

Fax

(310) 676-4388

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tricia Marie Pedroza

Title

Owner President

Phone

(310) 675-9163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750592127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14110 CORDARY AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902508005",
            "telephone_number": "310-675-9163",
            "fax_number": "310-676-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14110 CORDARY AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902508005",
            "telephone_number": "310-675-9163",
            "fax_number": "310-676-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSECRANS VILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEDROZA",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "310-675-9163",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floyd Rogers
• Amanda Lynn Rohkohl, DPT
• Phoebe Solis Romero
• Alejandra Roque, DPT
• Irma Escartin Roque, LVN
• Margaret Rosenberg
• Leticia Ross
• Shirin A. Rowhani, D.D.S.
• Perelean Jeanette Ruffinelli-Martin
• Concepcion Gonzalez Ruggirello, M.S.W., LCSW

• Mental Illness Community Based Residential Treatment Facility in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.