Organization Active NPI

Gem Healthcare, LLC

  • Skilled Nursing Facility
  • Pasadena, CA
National Provider Identifier
1760592190
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
970000034 Issued in CA
Legal business name
GEM HEALTHCARE, LLC
Practice address
716 S Fair Oaks Ave
Pasadena, CA 91105-2618
Phone
(626) 737-0560
Fax
(626) 737-0562
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Ms. Grace S Mercado
Title
Executive Director
Phone
(626) 304-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 970000034 CA Primary

Addresses

Primary practice location

716 S Fair Oaks Ave
Pasadena, CA 91105-2618

Mailing address

445 S Fair Oaks Ave
Suite M10
Pasadena, CA 91105-2632
Phone (626) 304-6900

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05341JMedicaidCA

Other names 1

  • GEM Transitional Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

445 S Fair Oaks Ave
Ste M10
Pasadena, CA 91105

716 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 737-0560

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1760592190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 S FAIR OAKS AVE",
            "address_2": "SUITE M10",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052632",
            "telephone_number": "626-304-6900",
            "fax_number": "626-564-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052618",
            "telephone_number": "626-737-0560",
            "fax_number": "626-737-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-304-6900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05341J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEM Transitional Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.