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PASADENA VILLA, INC
NPI 1720689755
Assisted Living Facility in Pasadena, CA

Active since November 05, 2020
1811 N RAYMOND AVE, PASADENA, CA 91103(310) 413-8717(818) 927-6066 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pasadena Villa, Inc NPPES

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

PASADENA VILLA, INC (NPI 1720689755) is a healthcare organization registered as an assisted living facility in Pasadena, California and active in the NPI registry since November 2020. The organization lists Kandice Vergara Williams, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720689755
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePASADENA VILLA, INC
Location Address1811 N RAYMOND AVEPasadena, CA 91103-1840
Mailing Address1811 N Raymond AvePasadena, CA 91103-1840 · (310) 413-8717 · Fax (818) 927-6066
Phone(310) 413-8717
Fax(818) 927-6066
Organization SubpartNo
Authorized OfficialKandice Vergara WilliamsExecutive Director · (310) 413-8717
Enumeration DateNovember 5, 2020
NPPES CertifiedNovember 5, 2020
✔ NPI 1720689755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1811 N RAYMOND AVE, Pasadena, CA 91103
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Other Names 1

Other NamePasadena Villa Senior Living

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DALTON GUDELMANN RRW
Counselor (Addiction (Substance Use Disorder))
1811 N RAYMOND AVE
PASADENA, CA 91103
Los Angeles County (626) 345-9992
MR. ROBERT WARREN BURNS JR. CADCA
Counselor (Addiction (Substance Use Disorder))
1811 N RAYMOND AVE
PASADENA, CA 91103
Los Angeles County (626) 345-9992
MRS. SHIRLEY ANN BENNETT R.A.S.
Counselor (Addiction (Substance Use Disorder))
1811 N RAYMOND AVE
PASADENA, CA 91103
Los Angeles County (626) 345-9992

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 Pasadena Villa, Inc's NPI number?

The NPI number for Pasadena Villa, Inc is 1720689755. It was assigned to this organization in the NPPES registry on November 5, 2020. The provider is also known as Pasadena Villa Senior Living.

Where is Pasadena Villa, Inc located?

Pasadena Villa, Inc is located at 1811 N Raymond Ave, Pasadena, CA 91103. The listed phone number is (310) 413-8717.

What is Pasadena Villa, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Pasadena Villa, Inc was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.