MARTHA KELLY-LUKEN NPI 1255732178

NPI Information

NPI: 1255732178
Provider Name: MARTHA KELLY-LUKEN
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
7108 WERNER ST
SAN DIEGO, CA
ZIP 92122
Phone: (858) 518-8667
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Martha Kelly-luken is an 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 assistance and/or monitoring to assure safety and well being. Martha Kelly-luken NPI is 1255732178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7108 WERNER ST
SAN DIEGO, CA
ZIP 92122-832
Phone: (858) 518-8667

The enumeration date for this NPI number is 9/10/2014 and was last updated on 9/10/2014.

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
1	310400000X	Assisted Living Facility		374602460	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	310400000X	OTHER	CALIFORNIA	RESIDENTIAL CARE FACILITY FOR THE ELDERLY

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

NPI Synchronization or Removal

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