Provider Demographics
NPI:1629129267
Name:HEALTHCARE MANAGEMENT SYSTEMS INC.
Entity Type:Organization
Organization Name:HEALTHCARE MANAGEMENT SYSTEMS INC.
Other - Org Name:THE BRADLEY COURT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:ERWIN
Authorized Official - Last Name:CABLAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:6195-231-9641
Mailing Address - Street 1:675 E BRADLEY AVE
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-3110
Mailing Address - Country:US
Mailing Address - Phone:619-448-6633
Mailing Address - Fax:619-448-5462
Practice Address - Street 1:675 E BRADLEY AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-3110
Practice Address - Country:US
Practice Address - Phone:619-448-6633
Practice Address - Fax:619-448-5462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0800153314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZT18874HMedicaid
CA555140Medicare ID - Type UnspecifiedMEDICARE