Organization Active NPI

Ember Health Care Center Glendale

  • Skilled Nursing Facility
  • Glendale, CA
National Provider Identifier
1871582841
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
ZZT06111M Issued in CA
Legal business name
EMBER HEALTH CARE CENTER GLENDALE
Practice address
201 Allen Ave
Glendale, CA 91201-2803
Phone
(818) 845-8507
Fax
(818) 845-7910
NPI assigned
Oct 20, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bernie Barcelona
Title
Administrator
Phone
(818) 845-8507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X ZZT06111M CA Primary

Addresses

Primary practice location

201 Allen Ave
Glendale, CA 91201-2803

Mailing address

201 Allen Ave
Glendale, CA 91201-2803
Phone (818) 845-8507

Other identifiers 1

IdentifierTypeStateIssuer
ZZT06111MMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Cypress Acres Convalescent Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871582841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ALLEN AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012803",
            "telephone_number": "818-845-8507",
            "fax_number": "818-845-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ALLEN AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012803",
            "telephone_number": "818-845-8507",
            "fax_number": "818-845-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBER HEALTH CARE CENTER GLENDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARCELONA",
        "authorized_official_first_name": "BERNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-845-8507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "ZZT06111M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06111M",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.