VILLA ESPERANZA SERVICES (NPI# 1396188397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396188397 |
Entity Type | Organization |
Organization Name | VILLA ESPERANZA SERVICES |
Practice Address |
1115 N Chester Ave Pasadena CA 91104-2946 |
Mailing Address |
2060 E Villa St Pasadena CA 91107-2340 |
Practice Telephone | 6267911823 |
Practice Fax Number | 6264492850 |
Mailing Telephone | 6264492919 |
Mailing Fax Number | 6264492850 |
Enumeration Date | 2013-04-10 |
Last Update Date | 2013-04-10 |
Authorized Official Name | DAMION LEE (DIRECTOR) |
Authorized Official Telephone | 6264492919 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780166207 | Villa Esperanza Services | Intermediate Care Facility, Mentally Retarded | 1920 E Villa St, Pasadena, CA 91107-2333 | 2018-08-31 |
1265739577 | Villa Esperanza Services | Day Training, Developmentally Disabled Services | 2116 E Villa St, Pasadena, CA 91107-2435 | 2011-02-23 |
1184834483 | Villa Esperanza Services | Clinic/Center | 1757 N Lake Ave, Pasadena, CA 91104-1226 | 2007-05-23 |
1831305564 | Villa Esperanza Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 427 N Craig Ave, Pasadena, CA 91107-2402 | 2007-05-16 |
1467667154 | Villa Esperanza Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 443 N Craig Ave, Pasadena, CA 91107-2402 | 2007-05-14 |
1003387259 | Villa Esperanza Services | Clinic/Center | 2088 E Villa St, Pasadena, CA 91107-2433 | 2018-12-16 |
1043565963 | Villa Esperanza Services | Behavioral Analyst | 2116 E Villa St, Pasadena, CA 91107-2435 | 2012-07-17 |
Street Address |
1115 N CHESTER AVE |
City | PASADENA |
State | CA |
Zip Code | 91104-2946 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
Find all providers in zip 91104 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780166207 | Villa Esperanza Services | Intermediate Care Facility, Mentally Retarded | 1920 E Villa St, Pasadena, CA 91107-2333 | 2018-08-31 |
1255549465 | Madison House | Intermediate Care Facility, Mentally Retarded | 307 Linda Vista Ave, Pasadena, CA 91105-1235 | 2007-05-19 |
1265658710 | Special Texas Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 2406 San Jacinto Dr, Pasadena, TX 77502-4403 | 2007-04-17 |
1275656381 | Special Texas Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 2012 Judy Ln, Pasadena, TX 77502-3702 | 2007-04-06 |
1124132048 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 4314 Ponca St, Pasadena, TX 77504-3553 | 2006-08-18 |
1154435071 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 2012 Judy Lane, Pasadena, TX 77502 | 2006-08-18 |
1215041132 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 2406 San Jacinto Street, Pasadena, TX 77502 | 2006-08-18 |
1992828008 | Special Texas Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 4314 Ponca St, Pasadena, TX 77504-3553 | 2007-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215545538 | Vine Valley Homes II | Intermediate Care Facility, Mentally Retarded | 8400 Bellingham Ave, Sun Valley, CA 91352-3803 | 2020-07-22 |
1841811791 | Young Walker Inc. | Intermediate Care Facility, Mentally Retarded | 14 Deer Ct, Sacramento, CA 95823-4402 | 2020-05-01 |
1003441155 | Sunrise Premier Homes LLC | Intermediate Care Facility, Mentally Retarded | 13831 Ruther Ave, Paramount, CA 90723-2662 | 2020-03-10 |
1649805912 | Jingma Inc | Intermediate Care Facility, Mentally Retarded | 34909 Osprey Dr, Union City, CA 94587-4618 | 2020-03-07 |
1124661699 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 581 S Gilmar St, Anaheim, CA 92802-1306 | 2019-10-28 |
1467095935 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1592 W Lorane Way, Anaheim, CA 92802-3930 | 2019-10-28 |
1992348460 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 5940 Los Angeles Way, Buena Park, CA 90620-2723 | 2019-10-28 |
1578106043 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2918 E Greenhedge Ave, Anaheim, CA 92806-3804 | 2019-10-28 |
1790328680 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2143 W Fir Ave, Anaheim, CA 92801-3436 | 2019-10-23 |
1356984249 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 6540 Christine Cir, Buena Park, CA 90620-4511 | 2019-10-23 |
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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.