MADISON HOUSE (NPI# 1255549465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255549465 |
| Entity Type | Organization |
| Organization Name | MADISON HOUSE |
| Practice Address |
307 Linda Vista Ave Pasadena CA 91105-1235 |
| Mailing Address |
1802 N Madison Ave Pasadena CA 91104-1236 |
| Practice Telephone | 6267939872 |
| Practice Fax Number | 6267939847 |
| Mailing Telephone | 6267939872 |
| Mailing Fax Number | 6267939847 |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2008-08-13 |
| Authorized Official Name | EDITH AVANZADO (LICENSEE) |
| Authorized Official Telephone | 6267939872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 960000799 | CA | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Madison House | 170 Rugby Road, Charlottesville, Virginia 22903 |
| Colorado Business Entities | Madison House | 170 Rugby Road, Charlottesville, VA 22903 |
| Virginia Business Entities | Madison House Associates II LP | 2 Bethesda Metro Ctr Ste 707, Bethesda, Maryland 20814 |
| Colorado Business Entities | Madison House III LLC | 1401 Walnut St Ste 500, Boulder, CO 80302 |
| Colorado Business Entities | Madison House Presents, LLC | 800 W. Olympic Blvd, Ste. 305, Los Angeles, CA 90015 |
| New York State Corporations | MADISON HOUSE STAR LLC | 1407 Broadway, Suite 4002, New York, Ny 10018 |
| New York State Corporations | MADISON HOUSE STAR MEMBER LLC | 1407 Broadway, Suite 4002, New York, Ny 10018 |
| Colorado Business Entities | MADISON HOUSE TRAVEL, L.L.C. | 1959 Wewatta Street, Unit 207, Denver, CO 80202 |
| Connecticut Business Registrations | MADISON HOUSE, INCORPORATED | Thomas G Anderson, 33 Copse Rd, Madison, CT 06443 |
| Colorado Business Entities | Madison House, LLC | 1401 Walnut Street Suite 500, Boulder, CO 80302 |
| Street Address |
307 LINDA VISTA AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-1235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780166207 | Villa Esperanza Services | Intermediate Care Facility, Mentally Retarded | 1920 E Villa St, Pasadena, CA 91107-2333 | 2018-08-31 |
| 1396188397 | Villa Esperanza Services | Intermediate Care Facility, Mentally Retarded | 1115 N Chester Ave, Pasadena, CA 91104-2946 | 2013-04-10 |
| 1265658710 | Special Texas Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 2406 San Jacinto Dr, Pasadena, TX 77502-4403 | 2007-04-17 |
| 1275656381 | Special Texas Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 2012 Judy Ln, Pasadena, TX 77502-3702 | 2007-04-06 |
| 1124132048 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 4314 Ponca St, Pasadena, TX 77504-3553 | 2006-08-18 |
| 1154435071 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 2012 Judy Lane, Pasadena, TX 77502 | 2006-08-18 |
| 1215041132 | Special Texas Homes Inc | Intermediate Care Facility, Mentally Retarded | 2406 San Jacinto Street, Pasadena, TX 77502 | 2006-08-18 |
| 1992828008 | Special Texas Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 4314 Ponca St, Pasadena, TX 77504-3553 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545538 | Vine Valley Homes II | Intermediate Care Facility, Mentally Retarded | 8400 Bellingham Ave, Sun Valley, CA 91352-3803 | 2020-07-22 |
| 1841811791 | Young Walker Inc. | Intermediate Care Facility, Mentally Retarded | 14 Deer Ct, Sacramento, CA 95823-4402 | 2020-05-01 |
| 1003441155 | Sunrise Premier Homes LLC | Intermediate Care Facility, Mentally Retarded | 13831 Ruther Ave, Paramount, CA 90723-2662 | 2020-03-10 |
| 1649805912 | Jingma Inc | Intermediate Care Facility, Mentally Retarded | 34909 Osprey Dr, Union City, CA 94587-4618 | 2020-03-07 |
| 1124661699 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 581 S Gilmar St, Anaheim, CA 92802-1306 | 2019-10-28 |
| 1467095935 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1592 W Lorane Way, Anaheim, CA 92802-3930 | 2019-10-28 |
| 1992348460 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 5940 Los Angeles Way, Buena Park, CA 90620-2723 | 2019-10-28 |
| 1578106043 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2918 E Greenhedge Ave, Anaheim, CA 92806-3804 | 2019-10-28 |
| 1790328680 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2143 W Fir Ave, Anaheim, CA 92801-3436 | 2019-10-23 |
| 1356984249 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 6540 Christine Cir, Buena Park, CA 90620-4511 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.