Active NPI
Redwood Senior Homes and Services
Doing business as Redwood Elderlink
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Escondido, CA
National Provider Identifier
1851367627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- 060000563
- Legal business name
- REDWOOD SENIOR HOMES AND SERVICES
- Doing business as
- Redwood Elderlink
- Practice address
- 1151 South Redwood Street
Escondido, CA 92025-5614 - Phone
- (760) 480-1030
- Fax
- (760) 737-0170
- NPI assigned
- Feb 23, 2006
- Last updated
- Feb 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David L Pierce
- Title
- VP & Cfo
- Phone
- (818) 247-0420
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 060000563 | CA | |
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | 060000563 | CA | Primary |
Addresses
Primary practice location
1151 South Redwood Street
Escondido, CA 92025-5614
Mailing address
516 Burchett Street
Glendale, CA 91203-1014
Phone (818) 247-0420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ADU70094G | Medicaid | CA |
Other names 1
- Redwood Elderlink
National Provider Directory
National Provider DirectoryLocations
1151 S Redwood St
Escondido, CA 92025
Phone (760) 480-1030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391472000000",
"number": "1851367627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 BURCHETT STREET",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912031014",
"telephone_number": "818-247-0420",
"fax_number": "818-247-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 SOUTH REDWOOD STREET",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920255614",
"telephone_number": "760-480-1030",
"fax_number": "760-737-0170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDWOOD SENIOR HOMES AND SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-23",
"last_updated": "2014-02-04",
"status": "A",
"authorized_official_last_name": "PIERCE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VP & CFO",
"authorized_official_telephone_number": "818-247-0420"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "CA",
"license": "060000563",
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "CA",
"license": "060000563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ADU70094G",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Redwood Elderlink",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.