Active NPI
Melrose Senior Care LLC
- Assisted Living Facility
- Poway, CA
National Provider Identifier
1003607805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MELROSE SENIOR CARE LLC
- Practice address
- 14530 Garden Rd
Poway, CA 92064-5126 - Phone
- (858) 905-6643
- Fax
- (858) 408-1805
- NPI assigned
- May 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin M Mendoza
- Title
- Administrator
- Phone
- (858) 269-9186
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
14530 Garden Rd
Poway, CA 92064-5126
Mailing address
14530 Garden Rd
Poway, CA 92064-5126
Phone (858) 967-2176
Other practice location 1
14548 Garden Rd
Poway, CA 92064-5126
Phone (858) 967-2176
Other practice location 2
14528 Garden Rd
Poway, CA 92064-5126
Phone (858) 829-2673
Other practice location 3
14534 Garden Rd
Poway, CA 92064-5126
Phone (858) 829-2678
Other practice location 4
14536 Garden Rd
Poway, CA 92064-5126
Phone (858) 864-0883
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747094400000",
"number": "1003607805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14530 GARDEN RD",
"city": "POWAY",
"state": "CA",
"postal_code": "920645126",
"telephone_number": "858-967-2176",
"fax_number": "858-408-1805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14530 GARDEN RD",
"city": "POWAY",
"state": "CA",
"postal_code": "920645126",
"telephone_number": "858-905-6643",
"fax_number": "858-408-1805"
}
],
"practiceLocations": [
{
"address_1": "14548 Garden Rd",
"address_purpose": "LOCATION",
"city": "Poway",
"state": "CA",
"postal_code": "920645126",
"country_code": "US",
"telephone_number": "858-967-2176",
"fax_number": "858-408-1805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14528 Garden Rd",
"address_purpose": "LOCATION",
"city": "Poway",
"state": "CA",
"postal_code": "920645126",
"country_code": "US",
"telephone_number": "858-829-2673",
"fax_number": "858-408-1805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14534 Garden Rd",
"address_purpose": "LOCATION",
"city": "Poway",
"state": "CA",
"postal_code": "920645126",
"country_code": "US",
"telephone_number": "858-829-2678",
"fax_number": "858-408-1805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14536 Garden Rd",
"address_purpose": "LOCATION",
"city": "Poway",
"state": "CA",
"postal_code": "920645126",
"country_code": "US",
"telephone_number": "858-864-0883",
"fax_number": "858-408-1805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MELROSE SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-13",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A",
"authorized_official_last_name": "MENDOZA",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "858-269-9186"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.