Active NPI
Amaikah Home Care LLC
- Assisted Living Facility
- Poway, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2024
- 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
- Jeremy Acob Bagaoisan
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Assisted Living Facility
- Poway, CA
- NPI 1770331316
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.