COUNTRY CLUB GUEST HOME (NPI# 1184013401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184013401 |
| Entity Type | Organization |
| Organization Name | COUNTRY CLUB GUEST HOME |
| Practice Address |
25533 Rua Michelle Escondido CA 92026-8600 |
| Practice Telephone | 7604435795 |
| Mailing Telephone | 7604435795 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |
| Authorized Official Name | MELANIE CUARESMA (ADMINISTRATOR) |
| Authorized Official Telephone | 7604435795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 372004630 | CA | Nursing & Custodial Care Facilities |
| Street Address |
25533 RUA MICHELLE |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92026-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477908663 | Nancy Martinez-molano | Counselor | 1029 N. Broadway Avenue, Escondido, CA 92026 | 2016-04-26 |
| 1114322765 | Christina Boekamp | Speech-Language Pathologist | 1325 Las Villas Way, Escondido, CA 92026 | 2014-10-24 |
| 1609170356 | Pectus Services of Southern California LLC | Durable Medical Equipment & Medical Supplies | 317 N. Elcamino Real, Suite 502, Encinitas, CA 92026 | 2011-01-10 |
| 1518277987 | Maryam Delsen | Social Worker | 1029 N. Broadway Ave., Escondido, CA 92026 | 2010-10-19 |
| 1528372554 | Shirley Dianne Kunkel | Speech-Language Pathologist | 9649 Galatea Lane, Escondido, CA 92026 | 2010-08-02 |
| 1124295266 | Kendell Hales Ricks | Dentist | 8895 Lawrence Welk Dr, Escondido, CA 92026 | 2008-05-08 |
| 1861517005 | Mountain Shadows Support Group, Inc | Nursing Facility/Intermediate Care Facility | 4840 Fairhill Place, Riverside, CA 92026 | 2007-03-20 |
| 1982731253 | Cynthia Louise Canney | Marriage & Family Therapist | 502 W. El Norte Parkway, Excondido, CA 92026 | 2007-02-27 |
| 1992891790 | Vijaya Kv Prabhu | Dentist | El Norte Family Dental., 306 W.el Norte Pkwy. Suite D & E, Escondido, CA 92026 | 2006-10-05 |
| 1174065403 | Rashida Black | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026 | 2016-11-17 |
| Find all providers in zip 92026 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124549613 | Crossroads Home Care, LLC | Assisted Living Facility | 2512 Heather Pl, Escondido, CA 92027-3534 | 2017-07-05 |
| 1740665108 | San Diego Brain Injury Foundation | Assisted Living Facility | 2033 Oro Verde Rd, Escondido, CA 92027-4810 | 2015-07-28 |
| 1093194748 | Splendor Valley, LLC | Assisted Living Facility | 930 Rockwell Springs Ct, Escondido, CA 92025-5900 | 2015-05-28 |
| 1700283348 | Rolling Meadows Care Homes, Inc | Assisted Living Facility | 1723 Casero Pl, Escondido, CA 92029-4215 | 2014-11-25 |
| 1174936850 | Anne's Place II | Assisted Living Facility | 2690 Mary Lane Pl, Escondido, CA 92025-7754 | 2014-06-10 |
| 1235579343 | Affordable Housing Initiatives Inc. | Assisted Living Facility | 612 Tranquility Gln, Escondido, CA 92027-3984 | 2013-07-03 |
| 1073842803 | Emeritus Corporation | Assisted Living Facility | 1351 E Washington Ave, Escondido, CA 92027-1934 | 2009-12-07 |
| 1720638208 | Del Dios Care, LLC | Assisted Living Facility | 1817 Avenida Del Diablo, Escondido, CA 92029-3112 | 2019-09-16 |
| 1154978021 | Bayshire LLC | Assisted Living Facility | 1817 Avenida Del Diablo, Escondido, CA 92029-3112 | 2019-08-24 |
| 1376056002 | Affordable Senior Housing Foundation | Assisted Living Facility | 612 Tranquility Gln, Escondido, CA 92027-3984 | 2017-11-16 |
| Find all providers in ESCONDIDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.