Organization Active NPI

Queens Manor 2 Inc.

  • Nursing Care Agency
  • Vista, CA
National Provider Identifier
1174135982
Registry record updated Jan 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
QUEENS MANOR 2 INC.
Practice address
248 Amelia CT
Vista, CA 92084-2587
Phone
(760) 295-1798
Fax
(760) 295-1798
NPI assigned
Aug 21, 2020
Last updated
Jan 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2021

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

Authorized official

Name
Nelia Totanes
Title
Administrator
Phone
(760) 201-6913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

248 Amelia CT
Vista, CA 92084-2587

Mailing address

248 Amelia CT
Vista, CA 92084-2587

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL queensmanor2@yahoo.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610755200000",
    "number": "1174135982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 AMELIA CT",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920842587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 AMELIA CT",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920842587",
            "telephone_number": "760-295-1798",
            "fax_number": "760-295-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS MANOR 2 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A",
        "authorized_official_last_name": "TOTANES",
        "authorized_official_first_name": "NELIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-201-6913"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "queensmanor2@yahoo.com",
            "affiliation": "N",
            "address_1": "248 Amelia Ct",
            "city": "Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920842587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.