Active NPI
Baj Management, Inc.
Doing business as Prospect Manor Retirement
- Assisted Living Facility (Behavioral Disturbances)
- South Pasadena, CA
National Provider Identifier
1972906584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)
- License
- 197603952
- 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, 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
- Mr. Eli Krich
- Title
- Ceo
- Phone
- (213) 500-5678
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Pasadena, CA
- NPI 1548416191
-
- Family Medicine Physician
- San Marino, CA
- NPI 1194883462
-
- Clinical Social Worker
- Pasadena, CA
- NPI 1871012120
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.