PETAL GUEST HOME LLC NPI 1184544363

NPI Information

  • NPI: 1184544363
  • Provider Name: PETAL GUEST HOME LLC
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Address: 1531 PETAL CT
    SAN DIEGO, CA
    ZIP 92114
  • Phone: (619) 414-0243

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NPI Details

PETAL GUEST HOME LLC is an assisted living and mental illness assisted living facility in San Diego, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. PETAL GUEST HOME LLC NPI is 1184544363. The provider is registered as an organization entity type.

The provider's business location address is:

1531 PETAL CT
SAN DIEGO, CA
ZIP 92114-907
Phone: (619) 414-0243

The provider's authorized official is Jeremy Bagaoisan .
The authorized official title is Co-owner and has the following contact phone number (619) 414-0243.

The enumeration date for this NPI number is 7/17/2026 and was last updated on 7/17/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

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: 11/21/2025

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