Organization Active NPI

Household of Faith

  • Assisted Living Facility
  • Chula Vista, CA
National Provider Identifier
1104347145
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
374603666 Issued in CA
Legal business name
HOUSEHOLD OF FAITH
Practice address
1081 Oleander Avenue
Chula Vista, CA 91911-2533
Phone
(619) 947-6027
NPI assigned
Jun 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jose Rafael Gonzales, RN
Title
Administrator
Phone
(619) 947-6027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 374603666 CA Primary

Addresses

Primary practice location

1081 Oleander Avenue
Chula Vista, CA 91911-2533

Mailing address

1081 Oleander Ave
Chula Vista, CA 91911-2533
Phone (619) 947-6027

Other names 1

  • Household of Faith Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104347145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 OLEANDER AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112533",
            "telephone_number": "619-947-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 OLEANDER AVENUE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112533",
            "telephone_number": "619-947-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSEHOLD OF FAITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "JOSE RAFAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-947-6027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "374603666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Household of Faith",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Household of Faith",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.