CANYON HILL SENIOR HOME II (NPI# 1477922425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477922425 |
| Entity Type | Organization |
| Organization Name | CANYON HILL SENIOR HOME II |
| Practice Address |
11075 Polaris Dr San Diego CA 92126-4703 |
| Practice Telephone | 8586934393 |
| Practice Fax Number | 8586936920 |
| Mailing Telephone | 8586934393 |
| Mailing Fax Number | 8586936920 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |
| Authorized Official Name | MRS. EDNA S ALBERTO (ADMINISTRATOR) |
| Authorized Official Telephone | 8587743375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 374602316 | CA | Nursing & Custodial Care Facilities |
| Street Address |
11075 POLARIS DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92126-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1811450935 | Anne Phabmixay | Student in an Organized Health Care Education/Training Program | Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 | 2019-04-08 |
| 1679035588 | Emily Nguyen | Registered Nurse | 8210 Elston Place, San Diego, CA 92126 | 2019-04-01 |
| 1558832139 | Dana Douglas-hiley | Speech-Language Pathologist | 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 | 2018-12-08 |
| 1275022873 | Breeann Nicole Poulson | Speech-Language Pathologist | 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 | 2018-05-09 |
| 1659878882 | My Phuong Thi Phan | Registered Nurse | 10938 Hyades Way, San Diego, CA 92126 | 2018-04-13 |
| 1083132153 | Ruth Tamar Morales | Occupational Therapist | Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 | 2017-09-08 |
| 1487184339 | Chelsea Irene Johnson | Marriage & Family Therapist | 8670 New Salem St. Unit 106, San Diego, CA 92126 | 2017-06-14 |
| 1336508506 | Brenda L. Bebal | Nurse Practitioner | 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 | 2016-02-17 |
| 1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
| Find all providers in zip 92126 | ||||
| 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 |
| 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 |
| 1225430580 | Right Choice Senior Living LLC | Assisted Living Facility | 6354 Cascade St, San Diego, CA 92122-2421 | 2014-09-18 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on CANYON HILL SENIOR HOME II.
| 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.