Provider Demographics
NPI:1689015182
Name:TWILIGHT INC
Entity Type:Organization
Organization Name:TWILIGHT INC
Other - Org Name:CARLSBAD ELDER CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR - OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JASNA
Authorized Official - Middle Name:
Authorized Official - Last Name:POPOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-505-4105
Mailing Address - Street 1:4892 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-3720
Mailing Address - Country:US
Mailing Address - Phone:760-505-4105
Mailing Address - Fax:
Practice Address - Street 1:4892 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-3720
Practice Address - Country:US
Practice Address - Phone:760-505-4105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALIC #374600823320700000X
CALC# 374600935320700000X
CALIC#374602406320700000X
CALIC# 374601999320700000X
CALIC# 374603096320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities