CAROLDALE HOME
NPI 1841463411
Assisted Living Facility - Assisted Living, Mental Illness in Carson, CA

Active since April 03, 2008
23453 CAROLDALE AVENUE, CARSON, CA 90745(310) 834-2106(310) 513-9422 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Caroldale Home NPPES

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

CAROLDALE HOME (NPI 1841463411) is a healthcare organization registered as an assisted living, mental illness in Carson, California and active in the NPI registry since April 2008. The organization lists Rodolfo Sambrano Cordero, Owner-administrator, as its authorized official.

NPPES Registry Identity

NPI1841463411
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameCAROLDALE HOME
Location Address23453 CAROLDALE AVENUECarson, CA 90745
Mailing Address23453 Caroldale AvenueCarson, CA 90745 · (310) 834-2106 · Fax (310) 513-9422
Fax(310) 513-9422
Organization SubpartNo
Authorized OfficialRodolfo Sambrano CorderoOwner-administrator · (310) 834-2106
Enumeration DateApril 3, 2008
Last NPPES UpdateJuly 24, 2008
NPI 1841463411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in CA · 191671234
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

23453 CAROLDALE AVENUE, Carson, CA 90745

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 Caroldale Home's NPI number?

The NPI number for Caroldale Home is 1841463411. It was assigned to this organization in the NPPES registry on April 3, 2008.

Where is Caroldale Home located?

Caroldale Home is located at 23453 Caroldale Avenue, Carson, CA 90745. The listed phone number is (310) 834-2106.

What is Caroldale Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Caroldale Home was last updated on July 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.