Provider Demographics
NPI:1609330760
Name:SAPPHIRE SUNSET
Entity Type:Organization
Organization Name:SAPPHIRE SUNSET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGHIBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-322-1910
Mailing Address - Street 1:1380 REES RD
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-1727
Mailing Address - Country:US
Mailing Address - Phone:714-322-1910
Mailing Address - Fax:
Practice Address - Street 1:1380 REES RD
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-1727
Practice Address - Country:US
Practice Address - Phone:714-322-1910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home