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UNITED CARE PROVIDERS-HOLY INFANT
NPI 1417928458
Intermediate Care Facility, Intellectual Disabilities in Baldwin Park, CA

Active since January 28, 2006
4710 KENMORE AVE, BALDWIN PARK, CA 91706(626) 962-8568(626) 962-2444 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About United Care Providers-holy Infant NPPES

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

UNITED CARE PROVIDERS-HOLY INFANT (NPI 1417928458) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Baldwin Park, California and active in the NPI registry since January 2006. The organization lists Adolfo J Festejo, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1417928458
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameUNITED CARE PROVIDERS-HOLY INFANT
Location Address4710 KENMORE AVEBaldwin Park, CA 91706-2309
Mailing Address18409 Dancy StRowland Heights, CA 91748-4755 · (626) 962-8568 · Fax (626) 962-2444
Phone(626) 962-8568
Fax(626) 962-2444
Organization SubpartNo
Authorized OfficialAdolfo J FestejoVp/cfo · (818) 802-6303
Enumeration DateJanuary 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417928458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in CA · 96000054
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
4710 KENMORE AVE, Baldwin Park, CA 91706
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Other Identifiers 1

MedicaidLTC80016FCA

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 United Care Providers-Holy Infant's NPI number?

The NPI number for United Care Providers-Holy Infant is 1417928458. It was assigned to this organization in the NPPES registry on January 28, 2006.

Where is United Care Providers-Holy Infant located?

United Care Providers-Holy Infant is located at 4710 Kenmore Ave, Baldwin Park, CA 91706. The listed phone number is (626) 962-8568.

What is United Care Providers-Holy Infant's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for United Care Providers-Holy Infant was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.