Healthcare Provider Details

I. General information

NPI: 1457518045
Provider Name (Legal Business Name): THE EPISCOPAL HOME COMMUNITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 07/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1428 SOUTH MARENGO AVE
ALHAMBRA CA
91803-2348
US

IV. Provider business mailing address

C/O 1609 W VALLEY BL #328
ALHAMBRA CA
91803-2348
US

V. Phone/Fax

Practice location:
  • Phone: 626-300-6203
  • Fax: 626-281-2246
Mailing address:
  • Phone: 626-300-6203
  • Fax: 626-281-2246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number191501936
License Number StateCA

VIII. Authorized Official

Name: MRS. ELENA LIU
Title or Position: CONTROLLER
Credential:
Phone: 626-300-6203