MEDICARE: THE EPISCOPAL HOME COMMUNITIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	191501936	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457518045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE EPISCOPAL HOME COMMUNITIES

Provider Business Mailing Address
First Line	:	C/O 1609 W VALLEY
Second Line	:	BL #328
City	:	ALHAMBRA
State	:	CA
Zip	:	91803-2348
Country	:	US
Telephone Number	:	626-300-6203
Fax Number	:	626-281-2246

Provider Business Practice Location Address
First Line	:	1428 SOUTH MARENGO AVE
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91803-2348
Country	:	US
Telephone Number	:	626-300-6203
Fax Number	:	626-281-2246

Authorized Official
Title or Position	:	CONTROLLER
Name	:	MRS. ELENA LIU
Credential	:
Telephone Number	:	626-300-6203

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	07/09/2008

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Directions to “THE EPISCOPAL HOME COMMUNITIES ” Practice Location

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