CASA DE LAS AMIGAS (NPI# 1851917033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851917033 |
| Entity Type | Organization |
| Organization Name | CASA DE LAS AMIGAS |
| Practice Address |
173 N Oak Knoll Ave Pasadena CA 91101 |
| Mailing Address |
160 N El Molino Ave Pasadena CA 91101-1805 |
| Practice Telephone | 6267922770 |
| Mailing Telephone | 6267922770 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | LEAH RODEMICH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6267922770 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 177F00000X | Lodging | Other Service Providers | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Casa Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952633240 | Casa De Las Amigas | Counselor | 169 N Oak Knoll Ave., Pasadena, CA 91101 | 2010-02-11 |
| 1922276062 | Casa De Las Amigas | Counselor | 160 N El Molino Ave, 173 North Oak Knoll Ave, Pasadena, CA 91101-1805 | 2008-02-12 |
| Street Address |
173 N OAK KNOLL AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| 1407302029 | Carr Psychological Corp | Clinical Neuropsychologist | 427 S Marengo Ave, #6, Pasadena, CA 91101 | 2016-09-01 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432636 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8001 Leeland Dr, Pasadena, MD 21122-2495 | 2020-03-13 |
| 1154964880 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8003a Leeland Dr, Pasadena, MD 21122-2495 | 2019-10-25 |
| 1326694134 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8003 Leeland Dr, Pasadena, MD 21122-2495 | 2019-08-16 |
| 1609305069 | Opportunity Ministries, Inc. | Substance Abuse Rehabilitation Facility | 212 Sillery Bay Road, Pasadena, MD 21122-5946 | 2017-06-08 |
| 1225566847 | Taj Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 979 E Washington Blvd, Pasadena, CA 91104-2439 | 2017-05-25 |
| 1750821773 | I Am Treatment Sanctuaries, Inc. | Substance Abuse Rehabilitation Facility | 651 Castano Ave, Pasadena, CA 91107-2703 | 2017-02-24 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1750798245 | Tranquility Woods LLC | Substance Abuse Rehabilitation Facility | 171a Ryan Rd, Pasadena, MD 21122-4541 | 2014-07-16 |
| 1841635737 | Houston Substance Abuse Clinic @ Pasadena, Inc. | Substance Abuse Rehabilitation Facility | 5825 Spencer Hwy, Pasadena, TX 77087 | 2013-05-06 |
| 1235472721 | Elijah's House Tx Corp | Substance Abuse Rehabilitation Facility | 1617 Asbury Dr, Pasadena, CA 91104-3113 | 2013-04-03 |
| Find all providers in PASADENA | ||||
Please comment or provide details below to improve the information on CASA DE LAS AMIGAS.
| 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.