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BALDWIN PARK CONGREGATE HOME INC
NPI 1194125658
Custodial Care Facility - Adult Care Home in Baldwin Park, CA

Active since September 02, 2014
3462 VINELAND AVE, BALDWIN PARK, CA 91706(626) 960-6500(626) 960-4500 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Baldwin Park Congregate Home Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALDWIN PARK CONGREGATE HOME INC (NPI 1194125658) is a healthcare organization registered as an adult care home in Baldwin Park, California and active in the NPI registry since September 2014. The organization lists Armando Elegio Edang, Administrator/director Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1194125658
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameBALDWIN PARK CONGREGATE HOME INC
Location Address3462 VINELAND AVEBaldwin Park, CA 91706-5314
Mailing Address3462 Vineland AveBaldwin Park, CA 91706-5314 · (626) 960-6500 · Fax (626) 960-4500
Phone(626) 960-6500
Fax(626) 960-4500
Organization SubpartNo
Authorized OfficialArmando Elegio EdangAdministrator/director Of Nursing · (909) 908-0846
Enumeration DateSeptember 2, 2014
Last NPPES UpdateSeptember 10, 2014
✔ NPI 1194125658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in CA · 550002799
Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

3462 VINELAND AVE, Baldwin Park, CA 91706
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2115475

Baldwin Park Congregate Home Inc · Baldwin Park, CA
Expired · Jul 6, 2026
CLIA Number05D2115475
Laboratory TypeChlf
Certificate Effective DateJuly 7, 2024
Certificate Expiration DateJuly 6, 2026
Laboratory DirectorKamalakar Rambhatla
Laboratory Phone(626) 960-6500
Laboratory LocationBaldwin Park Congregate Home Inc3462 Vineland Ave, Baldwin Park, CA 91706
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baldwin Park Congregate Home Inc's NPI number?

The NPI number for Baldwin Park Congregate Home Inc is 1194125658. It was assigned to this organization in the NPPES registry on September 2, 2014.

Where is Baldwin Park Congregate Home Inc located?

Baldwin Park Congregate Home Inc is located at 3462 Vineland Ave, Baldwin Park, CA 91706. The listed phone number is (626) 960-6500.

What is Baldwin Park Congregate Home Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Baldwin Park Congregate Home Inc was last updated on September 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.