Organization Active NPI

Baj Management, Inc.

Doing business as Prospect Manor Retirement

  • Assisted Living Facility (Behavioral Disturbances)
  • South Pasadena, CA
National Provider Identifier
1972906584
Registry record updated Sep 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
197603952 Issued in CA
Legal business name
BAJ MANAGEMENT, INC.
Doing business as
Prospect Manor Retirement
Practice address
800 Prospect Ave
South Pasadena, CA 91030-2420
Phone
(626) 799-1141
Fax
(626) 799-0445
NPI assigned
Sep 28, 2014
Last updated
Sep 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2014

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

Authorized official

Name
Mr. Eli Krich
Title
Ceo
Phone
(213) 500-5678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 197603952 CA Primary

Addresses

Primary practice location

800 Prospect Ave
South Pasadena, CA 91030-2420

Mailing address

800 Prospect Ave
South Pasadena, CA 91030-2420
Phone (626) 799-1141

Other names 1

  • Prospect Manor Retirement Doing business as

National Provider Directory

National Provider Directory

Locations

800 Prospect Ave
South Pasadena, CA 91030
Phone (323) 682-1767

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411862400000",
    "number": "1972906584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PROSPECT AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302420",
            "telephone_number": "626-799-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PROSPECT AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302420",
            "telephone_number": "626-799-1141",
            "fax_number": "626-799-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAJ MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-28",
        "last_updated": "2014-09-28",
        "status": "A",
        "authorized_official_last_name": "KRICH",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-500-5678",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "CA",
            "license": "197603952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prospect Manor Retirement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.