Provider Demographics
NPI: | 1639518004 |
---|---|
Name: | ESCONDIDO OPERATIONS, LP |
Entity type: | Organization |
Organization Name: | ESCONDIDO OPERATIONS, LP |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | GENERAL PARTNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ANDY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PLANT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 858-729-6720 |
Mailing Address - Street 1: | 7660 FAY AVE STE N |
Mailing Address - Street 2: | |
Mailing Address - City: | LA JOLLA |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 92037-4875 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 858-729-6720 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 500 E VALLEY PKWY |
Practice Address - Street 2: | |
Practice Address - City: | ESCONDIDO |
Practice Address - State: | CA |
Practice Address - Zip Code: | 92025-3054 |
Practice Address - Country: | US |
Practice Address - Phone: | 760-737-5110 |
Practice Address - Fax: | 760-737-2439 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-06-19 |
Last Update Date: | 2013-06-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
No | 311500000X | Nursing & Custodial Care Facilities | Alzheimer Center (Dementia Center) |