NPIMap

Organization Active NPI

St. Philomena Care Homes, Inc.

Doing business as St. Philomena Care Homes-II

  • Nursing Facility/Intermediate Care Facility
  • Walnut, CA
National Provider Identifier
1811174600
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
ST. PHILOMENA CARE HOMES, INC.
Doing business as
St. Philomena Care Homes-II
Practice address
19628 Avenida del Campo
Walnut, CA 91789
Phone
(909) 468-1012
Fax
(626) 839-1578
NPI assigned
Jan 24, 2008
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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
Administrator
Phone
(626) 253-6949

Specialties & licenses 1

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

Addresses

Primary practice location

19628 Avenida del Campo
Walnut, CA 91789

Mailing address

19628 Avenida del Campo
Walnut, CA 91789
Phone (909) 468-1012

Other names 1

  • ST. PHILOMENA CARE HOMES-II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Philomena Care Homes 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.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1811174600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19628 AVENIDA DEL CAMPO",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "909-468-1012",
            "fax_number": "626-839-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19628 AVENIDA DEL CAMPO",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "909-468-1012",
            "fax_number": "626-839-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PHILOMENA CARE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "OLIVAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. PHILOMENA CARE HOMES-II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.