Healthcare Provider Details

I. General information

NPI: 1952786931
Provider Name (Legal Business Name): PASADENA CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2015
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 N FAIR OAKS AVE
PASADENA CA
91103-1615
US

IV. Provider business mailing address

1640 N FAIR OAKS AVE
PASADENA CA
91103-1615
US

V. Phone/Fax

Practice location:
  • Phone: 626-798-1175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JENQ HORNG CHEN
Title or Position: CHAIRMAN
Credential:
Phone: 626-798-1175