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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us