Casa Carmen, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

198601698 Issued in CA

Legal business name

CASA CARMEN, INC.

Doing business as

Casa Carmen Three

Practice address

315 W Dawson Ave
Glendora, CA 91740-5018

Phone

(626) 963-0346

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Deena Zyskind

Title

Secretary/Treasurer

Phone

(626) 858-9615

Specialties & licenses 1

Addresses

Other names 1

• Casa Carmen Three Doing business as

Tax ID family

Casa Carmen Inc2 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.

• Casa Carmen Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Glendora, CA
  • NPI 1649617457
  NPD tax ID

Locations

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1780076802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 2236",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "626-858-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W DAWSON AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405018",
            "telephone_number": "626-963-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA CARMEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "ZYSKIND",
        "authorized_official_first_name": "DEENA",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "626-858-9615",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "198601698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Carmen Three",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen N Garabet PSYD a Psychological Corporation
• Jeanette Carpenter, PHARMD
• Peter Carrasco
• Carlos Carrera, PT.
• Casa Carmen Inc.
• Morgan Ung Casino-Ma, LCSW
• Francisco Castaneda Jr., BSW
• Juana Castaneda X
• Rosemary S Castillo, NP
• Piedad Castrillon, L.M.F.T.

• Assisted Living Facility in Glendora, CA
• Providers in Glendora, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.