Provider Demographics
NPI:1255154951
Name:NUMERO UNO
Entity type:Organization
Organization Name:NUMERO UNO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BLAKELEY
Authorized Official - Suffix:
Authorized Official - Credentials:HHN
Authorized Official - Phone:760-612-6924
Mailing Address - Street 1:11280 VISTA SORRENTO PKWY # P306
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-7637
Mailing Address - Country:US
Mailing Address - Phone:760-612-6924
Mailing Address - Fax:
Practice Address - Street 1:11280 VISTA SORRENTO PKWY # P306
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-7637
Practice Address - Country:US
Practice Address - Phone:760-612-6924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-02
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care