NPIMap

Organization Active NPI

St. Philomena Care Homes, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Walnut, CA
National Provider Identifier
1821275637
Registry record updated Jan 23, 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-I
Practice address
340 Calle Caballeros
Walnut, CA 91789-1618
Phone
(909) 595-9879
Fax
(626) 839-1578
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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

340 Calle Caballeros
Walnut, CA 91789-1618

Mailing address

340 Calle Caballeros
Walnut, CA 91789-1618
Phone (909) 595-9879

Other names 1

  • ST PHILOMENA CARE HOMES-I Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G625

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ST PHILOMENA CARE HOMES - I
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Mar 5, 2009
Last certification
Feb 23, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
340 Calle Caballeros
Walnut, CA 91789

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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1821275637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 CALLE CABALLEROS",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891618",
            "telephone_number": "909-595-9879",
            "fax_number": "626-839-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 CALLE CABALLEROS",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891618",
            "telephone_number": "909-595-9879",
            "fax_number": "626-839-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PHILOMENA CARE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "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-I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut, CA

Sources for this page

Verify at the official NPI Registry.