Organization Active NPI

Edward James Retirement Home LLC

  • Assisted Living Facility
  • Escondido, CA
National Provider Identifier
1174352157
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EDWARD JAMES RETIREMENT HOME LLC
Practice address
1132 Via Rancho Pkwy
Escondido, CA 92029-7234
Phone
(760) 504-3660
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Arceli B Songco
Title
Administrator
Phone
(760) 504-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1132 Via Rancho Pkwy
Escondido, CA 92029-7234

Mailing address

1909 Petaluma Dr
Chula Vista, CA 91913-1641
Phone (760) 504-3660

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1174352157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 PETALUMA DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131641",
            "telephone_number": "760-504-3660",
            "fax_number": "619-842-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 VIA RANCHO PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920297234",
            "telephone_number": "760-504-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD JAMES RETIREMENT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "SONGCO",
        "authorized_official_first_name": "ARCELI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-504-3660"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.