Provider Demographics
NPI:1851719355
Name:NIGHTINGALE HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:NIGHTINGALE HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LUCILA
Authorized Official - Middle Name:R
Authorized Official - Last Name:DEANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-754-5400
Mailing Address - Street 1:2644 CANYON RD
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-7415
Mailing Address - Country:US
Mailing Address - Phone:760-754-5400
Mailing Address - Fax:760-754-5444
Practice Address - Street 1:2644 CANYON RD
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-7415
Practice Address - Country:US
Practice Address - Phone:760-754-5400
Practice Address - Fax:760-754-5444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-01
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
CA136339310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Yes251B00000XAgenciesCase Management