Villa Esperanza Services
Intermediate Care Facility, Intellectual Disabilities in Pasadena, CA. Organization (NPI-2).
NPI number1467667154
StatusActive
Last updated in NPPESFeb 20, 2024
Details
- NPI
- 1467667154
- Entity type
- Organization (NPI-2)
- Legal business name
- Villa Esperanza Services
- Organization subpart
- No
- Enumeration date
- May 14, 2007
- Certification date
- Feb 20, 2024
- Last updated
- Feb 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 960000742 | CA |
Other names
- Stahl House (Doing Business As)
Practice location
443 N Craig AvePasadena, CA 91107-2402
Phone 626-585-8528
Mailing address
2116 E Villa StPasadena, CA 91107-2435
Phone 626-449-2919
Authorized official
Kelly White
Chief Operating Officer
6264492919
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Intellectual Disabilities Intermediate Care Facility providers in Pasadena, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.