ARV ASSISTED LIVING, INC (NPI# 1396049284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396049284 |
| Entity Type | Organization |
| Organization Name | ARV ASSISTED LIVING, INC |
| Other Organization Name | COLLWOOD |
| Practice Address |
5308 Monroe Ave San Diego CA 92115-3427 |
| Practice Telephone | 6192863583 |
| Mailing Telephone | 6192863583 |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | JOHN MOORE (CEO) |
| Authorized Official Telephone | 5027797608 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARV ASSISTED LIVING, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Collwood | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104120039 | Arv Assisted Living, Inc | Assisted Living Facility | 501 King Dr, Daly City, CA 94015-2956 | 2011-01-07 |
| 1831493766 | Arv Assisted Living, Inc | Assisted Living Facility | 101 S Yucca St, Chandler, AZ 85224-8149 | 2011-01-07 |
| 1033413968 | Arv Assisted Living, Inc | Assisted Living Facility | 2883 S Norfolk St, San Mateo, CA 94403-1651 | 2011-01-07 |
| 1922302850 | Arv Assisted Living, Inc | Assisted Living Facility | 1228 Rossmoor Pkwy, Walnut Creek, CA 94595-2532 | 2011-01-07 |
| 1568766491 | Arv Assisted Living, Inc | Assisted Living Facility | 4880 Summit Ridge Dr, Reno, NV 89523-7980 | 2011-01-07 |
| 1447554324 | Arv Assisted Living, Inc | Assisted Living Facility | 1185 Pedro St, San Jose, CA 95126-3757 | 2011-01-06 |
| 1730483629 | Arv Assisted Living, Inc | Assisted Living Facility | 405 Hodencamp Rd, Thousand Oaks, CA 91360-5400 | 2011-01-06 |
| 1013211903 | Arv Assisted Living, Inc | Assisted Living Facility | 1111 Alvarado Ave, Davis, CA 95616-5918 | 2011-01-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Arv Assisted Living, Inc. | Arv Assisted Living, Inc., 245 Fischer Avenue, D-1, Po Box 5046, Costa Mesa, CA 92628-5046 |
| Colorado Business Entities | ARV ASSISTED LIVING, INC. | 245 Fischer Ave D-1, Costa Mesa, CA 92626 |
| Massachusetts Corporations | ARV ASSISTED LIVING, INC. | 245 Fischer Ave., D-1, Costa Mesa, CA 92626 |
| Indiana Business Entities | ARV ASSISTED LIVING, INC. | 245 Fischer Ave., D-1, Costa Mesa, CA 92626 |
| Street Address |
5308 MONROE AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| 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 |
|---|---|---|---|---|
| 1396374674 | Shine Place | Assisted Living Facility | 336 Winewood St, San Diego, CA 92114-5956 | 2020-04-07 |
| 1326698564 | Del Rio Care, LLC | Assisted Living Facility | 4171 Camino Del Rio S, San Diego, CA 92108-4103 | 2019-09-19 |
| 1215584685 | Snh Cal Tenant LLC | Assisted Living Facility | 16915 Hierba Dr, San Diego, CA 92128-2681 | 2019-08-21 |
| 1821650300 | Ktre1, LLC | Assisted Living Facility | 3219 Canon St., San Diego, CA 92106 | 2019-07-03 |
| 1245698422 | Kevin Posada | Assisted Living Facility | 3664 Governor Dr, San Diego, CA 92122-2418 | 2016-02-03 |
| 1477922425 | Canyon Hill Senior Home II | Assisted Living Facility | 11075 Polaris Dr, San Diego, CA 92126-4703 | 2015-09-21 |
| 1760851232 | Canyon Hill Senior Home I | Assisted Living Facility | 7241 Canyon Hill Ct, San Diego, CA 92126-2050 | 2015-09-15 |
| 1679957955 | Santa Martha Residential #7 | Assisted Living Facility | 6052 Rancho Mission Rd, Unit 408, San Diego, CA 92108-2355 | 2015-07-16 |
| 1972982213 | Teresita Pedroso | Assisted Living Facility | 7229 Zest St, San Diego, CA 92139-1253 | 2015-05-20 |
| 1902298946 | Stellar Care Inc | Assisted Living Facility | 4518 54th St, San Diego, CA 92115-3527 | 2015-02-27 |
| Find all providers in SAN DIEGO | ||||
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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.