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EC OPCO GROSSMONT GARDENS LP NPI 1881153526


NPI Information

NPI: 1881153526
Provider Name: EC OPCO GROSSMONT GARDENS, LP
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 05D0693311

Address:
5480 MARENGO AVE
LA MESA, CA
ZIP 91942
Phone: (619) 463-0281
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EC OPCO GROSSMONT GARDENS, LP is an assisted living facility in La Mesa, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EC OPCO GROSSMONT GARDENS, LP NPI is 1881153526. The provider is registered as an organization entity type.

The provider's business location address is:

5480 MARENGO AVE
LA MESA, CA
ZIP 91942-408
Phone: (619) 463-0281
Fax: (619) 463-8394

The provider's authorized official is Amy W. Fleming .
The authorized official title is Controller and has the following contact phone number (971) 337-3922.

The CLIA number assigned to this NPI record is 05D0693311 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2019 and was last updated on 3/12/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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