location
search-icon
institution
Pasa Alta Manor
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pasadena, California
NPI 1336426717

Pasa Alta Manor is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Pasadena, CA. Pasa Alta Manor practices in Pasadena, CA. The NPI Number for Pasa Alta Manor is 1336426717 and holds a License No. 191204078 (California).

The current practice location address for Pasa Alta Manor is 1790 N Fair Oaks Ave, Pasadena, CA and can be reached out via phone at 626-798-6986 and via fax at 626-798-5970. You can also correspond with Pasa Alta Manor through the mailing address at PO BOX 93577, PASADENA, CA - 91109-3577 (mailing address contact number: 626-798-6986).

Location: 1790 N Fair Oaks Ave, Pasadena, CA, 91109-3577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336426717
Provider Name
Pasa Alta Manor
Credential
Provider Entity Type
Organization
Address
1790 N Fair Oaks Ave, Pasadena, CA, 91109-3577
Phone Number
626-798-6986
Fax Number
626-798-5970
Provider Enumeration Date
11/14/2011
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
191204078 01 CA ADULT RESIDENTIAL FACILITY LICENSE NUMBER
191222713 01 CA ADULT RESIDENTIAL FACILITY LICENSE NUMBER
197600074 01 CA ADULT RESIDENTIAL FACILITY LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1790 N Fair Oaks Ave
City
Pasadena
State
California
Zip
91103-1617
Phone Number
626-798-6986
Fax Number
626-798-5970
person
Provider Business Mailing Address Details
Address
Po Box 93577
City
Pasadena
State
California
Zip
91109-3577
Phone Number
626-798-6986
Fax Number
626-798-5970
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
191222713 (California)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
191204078 (California)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.