R DERMODY ENTERPRISE NPI 1265621387

NPI Information

  • NPI: 1265621387
  • Provider Name: R DERMODY ENTERPRISE
  • Classification: Custodial Care Facility - 311Z00000X
  • Entity Type: Organization
  • Doing Business As: ROSE'S GREENFIELD MANOR
  • Address: 2083 GREENFIELD DR
    EL CAJON, CA
    ZIP 92019
  • Phone: (619) 444-5731

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NPI Details

R DERMODY ENTERPRISE is a custodial care facility in El Cajon, CA. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. R DERMODY ENTERPRISE NPI is 1265621387. The provider is registered as an organization entity type.
The provider Is Doing Business As Rose's Greenfield Manor.

The provider's business location address is:

2083 GREENFIELD DR
EL CAJON, CA
ZIP 92019-156
Phone: (619) 444-5731
Fax: (619) 449-0033

The provider's authorized official is Rosemary Dermody .
The authorized official title is President and has the following contact phone number (619) 449-8630.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 7/16/2008.

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
1311Z00000XCustodial Care Facility370804691CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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