Organization Active NPI

Amaikah Home Care LLC

  • Assisted Living Facility
  • Poway, CA
National Provider Identifier
1114761897
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AMAIKAH HOME CARE LLC
Practice address
15158 Jenell St
Poway, CA 92064-2616
Phone
(619) 742-1126
NPI assigned
Jun 19, 2024
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Jeremy Acob BagaoisanNPI 1770331316
Title
Administrator
Phone
(619) 742-1126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

15158 Jenell St
Poway, CA 92064-2616

Mailing address

971 Calle Pilares
Chula Vista, CA 91913-3329
Phone (619) 742-1126

Other practice location 1

14249 High Valley Rd
Poway, CA 92064-2701
Phone (619) 742-1126

Other practice location 2

15260 Amalia St
San Diego, CA 92129-1228
Phone (619) 742-1126

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1114761897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 CALLE PILARES",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133329",
            "telephone_number": "619-742-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15158 JENELL ST",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642616",
            "telephone_number": "619-742-1126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14249 High Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642701",
            "country_code": "US",
            "telephone_number": "619-742-1126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15260 Amalia St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921291228",
            "country_code": "US",
            "telephone_number": "619-742-1126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMAIKAH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "BAGAOISAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ACOB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-742-1126"
    },
    "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 Jun 19, 2024; 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.