Pasa Alta Manor

LBN: Pasa Alta Manor
Pasa Alta Manor is an health care organization with primary practice located at 1790 N Fair Oaks Ave , Pasadena CA 91103-1617. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Pasa Alta Manor can be contacted via phone (626) 798-6986, or through Brown, Dewalt via phone (626) 926-3519.

Contact Information

Primary practice address
1790 N Fair Oaks Ave Pasadena CA 91103-1617
Phone: (626) 798-6986
Fax: (626) 798-5970
Website:
Map and Directions
Authorized official contact:
Name: Brown, Dewalt MBA
Phone: (626) 926-3519

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 191204078 California
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 191222713 California
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 197600074 California

Profile Details

NPI number 1336426717
LBN Legal business name Pasa Alta Manor
DBA Doing business as
Authorized official Brown, Dewalt MBA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2011
Last updated Nov 14th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336426717 NPPES
California Other 191204078 ADULT RESIDENTIAL FACILITY LICENSE NUMBER
California Other 191222713 ADULT RESIDENTIAL FACILITY LICENSE NUMBER
California Other 197600074 ADULT RESIDENTIAL FACILITY LICENSE NUMBER

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