Provider Demographics
NPI:1679957955
Name:SANTA MARTHA RESIDENTIAL #7
Entity Type:Organization
Organization Name:SANTA MARTHA RESIDENTIAL #7
Other - Org Name:SMR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:POSADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-366-2897
Mailing Address - Street 1:6052 RANCHO MISSION RD
Mailing Address - Street 2:UNIT 408
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108
Mailing Address - Country:US
Mailing Address - Phone:858-366-2897
Mailing Address - Fax:858-587-2802
Practice Address - Street 1:6052 RANCHO MISSION RD
Practice Address - Street 2:UNIT 408
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-2355
Practice Address - Country:US
Practice Address - Phone:858-366-2897
Practice Address - Fax:858-587-2802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374603493310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility