NPIMap

Organization Active NPI

East Los Angeles Remarkable Citizen Assn

Doing business as Casa Terry

  • Intellectual Disabilities Intermediate Care Facility
  • Hacienda Heights, CA
National Provider Identifier
1891830964
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
EAST LOS ANGELES REMARKABLE CITIZEN ASSN
Doing business as
Casa Terry
Practice address
15576 Lujon St
Hacienda Heights, CA 91745
Phone
(626) 333-7554
NPI assigned
Feb 20, 2007
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. Carlos E Madrid, MSW MPA
Title
Ceo President Administrator
Phone
(323) 223-3079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

15576 Lujon St
Hacienda Heights, CA 91745

Mailing address

3839 Selig Place
Los Angeles, CA 90031
Phone (323) 223-3079

Other identifiers 1

IdentifierTypeStateIssuer
LTC60893FOtherCAMEDICAL

Other names 1

  • Casa Terry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Los Angeles Remarkable Citzens' Association Inc6 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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891830964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 SELIG PLACE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90031",
            "telephone_number": "323-223-3079",
            "fax_number": "323-223-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15576 LUJON ST",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "91745",
            "telephone_number": "626-333-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LOS ANGELES REMARKABLE CITIZEN ASSN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADRID",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO PRESIDENT ADMINISTRATOR",
        "authorized_official_telephone_number": "323-223-3079",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW MPA"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "LTC60893F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Terry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hacienda Heights, 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.