Organization
THE COMPASSIONATE SAMARITAN, INC
Active
Other names
Ardilla Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ALLEN HOWARD (CHIEF EXECUTIVE OFFICER)
(626) 939-4433
Entity
Organization
Contact information
Practice address
3662 ARDILLA AVE, BALDWIN PARK, CA 91706-5635
(626) 939-4433
(626) 698-4801
Mailing address
3662 ARDILLA AVE, BALDWIN PARK, CA 91706-5635
(626) 939-4433
(626) 698-4801
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
360911118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360911118
MEDI-CAL
CA
Enumeration date
08/27/2009
Last updated
08/27/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up