Organization Active NPI

Holy Infant Jesus Care Home, Inc.

  • Nursing Facility/Intermediate Care Facility
  • La Puente, CA
National Provider Identifier
1801030457
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
3138462 Issued in CA
Legal business name
HOLY INFANT JESUS CARE HOME, INC.
Practice address
18812 Highcastle St
La Puente, CA 91744-6140
Phone
(626) 253-6949
Fax
(909) 594-2700
NPI assigned
Apr 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Dr. Gerardo Olivar Pascual, M.D.
Title
President
Phone
(626) 253-6949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 3138462 CA Primary

Addresses

Primary practice location

18812 Highcastle St
La Puente, CA 91744-6140

Mailing address

18812 Highcastle St
La Puente, CA 91744-6140
Phone (626) 253-6949

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1801030457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18812 HIGHCASTLE ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917446140",
            "telephone_number": "626-253-6949",
            "fax_number": "909-594-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18812 HIGHCASTLE ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917446140",
            "telephone_number": "626-253-6949",
            "fax_number": "909-594-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY INFANT JESUS CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "OLIVAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-253-6949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "3138462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.