PASADENA CONGREGATE LIVING, INC. (NPI# 1154968055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154968055 |
| Entity Type | Organization |
| Organization Name | PASADENA CONGREGATE LIVING, INC. |
| Practice Address |
1165 N Summit Ave Pasadena CA 91103-2655 |
| Practice Telephone | 8186797120 |
| Practice Fax Number | 7472273614 |
| Mailing Telephone | 8186797120 |
| Mailing Fax Number | 7472273614 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | KHACHATUR SARYAN (CEO) |
| Authorized Official Telephone | 8186310770 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
1165 N SUMMIT AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91103-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
| 1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
| Find all providers in zip 91103 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721372 | Jigar Kadakia Md Inc | Skilled Nursing Facility | 844 Magnolia Ave Apt 5, Pasadena, CA 91106-4611 | 2020-02-11 |
| 1891142006 | Rose Garden Subacute & Rehabilitation Center LLC | Skilled Nursing Facility | 1899 N Raymond Ave, Pasadena, CA 91103-1733 | 2016-05-17 |
| 1700136132 | Apollo Healthcare At Bay Area, Lp | Skilled Nursing Facility | 4900 East Sam Houston Parkway South, Pasadena, TX 77505 | 2012-09-13 |
| 1578812079 | Apollo Healthcare At Bay Area, Lp | Skilled Nursing Facility | 4900 E. Sam Houston South, Pasadena, TX 77502 | 2012-08-30 |
| 1295011302 | Severna Park Center | Skilled Nursing Facility | 8671 Scorton Harbour, Pasadena, MD 21122-6513 | 2011-11-02 |
| 1801171186 | Baywood Crenshaw LLC | Skilled Nursing Facility | 5020 Space Center Blvd, Pasadena, TX 77505-3966 | 2011-10-18 |
| 1912125683 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 4048 Red Bluff Road, Pasadena, TX 77503 | 2007-04-20 |
| 1104947647 | Ssc Pasadena Operating Company LLC | Skilled Nursing Facility | 811 Garner Rd, Pasadena, TX 77502-2315 | 2007-04-03 |
| 1154480234 | Slch Inc | Skilled Nursing Facility | 1570 N Fair Oaks Ave, Pasadena, CA 91103 | 2006-12-06 |
| 1992864995 | Arpom Inc | Skilled Nursing Facility | 1920 N Fair Oaks Ave, Pasadena, CA 91103 | 2006-12-06 |
| Find all providers in PASADENA | ||||
Please comment or provide details below to improve the information on PASADENA CONGREGATE LIVING, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.