Organization Active NPI

Aspen Skilled Healthcare, Inc

  • Skilled Nursing Facility
  • Cerritos, CA
National Provider Identifier
1790914810
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ASPEN SKILLED HEALTHCARE, INC
Practice address
12750 Center Court Dr S
405
Cerritos, CA 90703-8581
Phone
(562) 809-7000
Fax
(714) 388-3632
NPI assigned
Jul 10, 2009
Last updated
Jul 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Mr. Vern Jay Brady
Title
President
Phone
(949) 466-8704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

12750 Center Court Dr S
405
Cerritos, CA 90703-8581

Mailing address

12750 Center Court Dr S
405
Cerritos, CA 90703-8581
Phone (562) 809-7000

National Provider Directory

National Provider Directory

Locations

12750 Center Court Dr S
#405
Cerritos, CA 90703
Phone (562) 809-7000

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1790914810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 CENTER COURT DR S",
            "address_2": "405",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038581",
            "telephone_number": "562-809-7000",
            "fax_number": "714-388-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 CENTER COURT DR S",
            "address_2": "405",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038581",
            "telephone_number": "562-809-7000",
            "fax_number": "714-388-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN SKILLED HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "VERN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-466-8704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.