Organization Active NPI

Melrose Senior Care LLC

  • Assisted Living Facility
  • Poway, CA
National Provider Identifier
1003607805
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on May 13, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.