BALDWIN PARK CONGREGATE HOME INC NPI 1194125658

NPI Information

  • NPI: 1194125658
  • Provider Name: BALDWIN PARK CONGREGATE HOME INC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • CLIA Number: 05D2115475
  • Address: 3462 VINELAND AVE
    BALDWIN PARK, CA
    ZIP 91706
  • Phone: (626) 960-6500

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NPI Details

BALDWIN PARK CONGREGATE HOME INC is an adult care home custodial care facility in Baldwin Park, CA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. BALDWIN PARK CONGREGATE HOME INC NPI is 1194125658. The provider is registered as an organization entity type.

The provider's business location address is:

3462 VINELAND AVE
BALDWIN PARK, CA
ZIP 91706-314
Phone: (626) 960-6500
Fax: (626) 960-4500

The provider's authorized official is Armando Elegio Edang .
The authorized official title is Administrator/director Of Nursing and has the following contact phone number (909) 908-0846.

The CLIA number assigned to this NPI record is 05D2115475 - other - chlf with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2014 and was last updated on 9/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home550002799CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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