Country Club Guest Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

372004630 Issued in CA

Legal business name

COUNTRY CLUB GUEST HOME

Practice address

25533 Rua Michelle
Escondido, CA 92026-8600

Phone

(760) 443-5795

NPI assigned

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

Melanie Cuaresma

Title

Administrator

Phone

(760) 443-5795

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1184013401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25533 RUA MICHELLE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920268600",
            "telephone_number": "760-443-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25533 RUA MICHELLE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920268600",
            "telephone_number": "760-443-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY CLUB GUEST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "CUARESMA",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-443-5795"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "372004630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey C Cota
• Katharine Ryan Cothran
• Julie Cottam, RN
• Paul J Cotten, M.D.
• Stephen Cotter, DDS
• County of San Diego
• County of San Diego
• Covenant Care California, LLC (Valle Vista Convalescent Hospital)
• Cox Dental Corporation (Gentle Dental Del Lago)
• Cox Dental Corporation (Gentle Dental Escondido Professional)

• Assisted Living Facility in Escondido, CA
• Providers in Escondido, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.