ASIAN REHABILITATION SERVICE, INC. , NPI 1154542058 — ARS in LOS ANGELES (CA)

NPI 1154542058

13+ Years Experience Organization

ASIAN REHABILITATION SERVICE, INC.

Other organization name: ARS.

05.01.2007
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1154542058
NPI NUMBER

About ASIAN REHABILITATION SERVICE, INC.

ASIAN REHABILITATION SERVICE, INC. is a provider established in LOS ANGELES, CA. The NPI number of ASIAN REHABILITATION SERVICE, INC. is 1154542058 and was assigned on 05.01.2007. The practitioners primary taxonomy code is: 251C00000X .

Mailing address

  • City: LOS ANGELES
  • State: CA
  • Postal code: 900213124
  • Phone: 2137439242
  • Fax: 2137439266
  • Address: 1701 E WASHINGTON BLVD

Primary Practice Address

  • Region : LOS ANGELES, CA
  • NPI : 1154542058
  • Phone : 2137439242
  • Fax : 2137439266
  • Postalcode : 900213124
  • Address : 1701 E WASHINGTON BLVD

Additional identifiers

  • Identifier: 6807D
  • Code / Type : 1 - other
  • Identifier state : CA
  • Identifier issuer: DMH

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Provider taxonomy - Day Training, Developmentally Disabled Services

  • Taxonomy code: 251C00000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual"s physical, mental, social, and vocational functioning.

Contacts:

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  • ASIAN REHABILITATION SERVICE, INC.
  • Address : 1701 E WASHINGTON BLVD
  • Region : LOS ANGELES, CA
  • NPI : 1154542058
  • Phone : 2137439242
  • Fax : 2137439266
  • Postalcode : 900213124

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 2137439242
  • Title or position : CHIEF EXECUTIVE OFFICER

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1701 E WASHINGTON BLVD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLOS ANGELES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code900213124
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2137439242
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2137439266
The fax number associated with the location address of the provider being identified.
NPI1154542058
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1251C00000X
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual"s physical, mental, social, and vocational functioning.
Provider Enumeration Date05.01.2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)ASIAN REHABILITATION SERVICE, INC.
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider Other Organization NameARS
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code5
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address1701 E WASHINGTON BLVD
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameLOS ANGELES
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code900213124
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number2137439242
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number2137439266
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameCHUNG
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameTOM
The first name of the authorized official
Authorized Official Title or PositionCHIEF EXECUTIVE OFFICER
The title or position of the authorized official
Authorized Official Name Prefix TextMR.
Authorized Official Name Prefix Text
Authorized Official Telephone Number2137439242
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1251C00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Day Training, Developmentally Disabled Services
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual"s physical, mental, social, and vocational functioning.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 16807D
Other Provider Identifier #1
Other Provider Identifier Type 11
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1CA
Other Provider Identifier State #1
Other Provider Identifier Issuer 1DMH
Other Provider Identifier Issuer #1
X

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