Organization Active NPI

Cloisters Nursing Center Inc

Doing business as Shea Family Care Mission Hills

  • Skilled Nursing Facility
  • San Diego, CA
National Provider Identifier
1255344800
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
080000032 Issued in CA
Legal business name
CLOISTERS NURSING CENTER INC
Doing business as
Shea Family Care Mission Hills
Practice address
3680 Reynard Way
San Diego, CA 92103-3847
Phone
(619) 297-4484
NPI assigned
Aug 14, 2006
Last updated
Dec 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Authorized official

Name
Ms. Mary Miller
Title
Chief Legal Counsel
Phone
(619) 441-8771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 080000032 CA Primary

Addresses

Primary practice location

3680 Reynard Way
San Diego, CA 92103-3847

Mailing address

3680 Reynard Way
San Diego, CA 92103-3847
Phone (619) 297-4484

Other identifiers 1

IdentifierTypeStateIssuer
ZZT186221MedicaidCA

Other names 1

  • Shea Family Care Mission Hills Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1255344800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 REYNARD WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033847",
            "telephone_number": "619-297-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 REYNARD WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033847",
            "telephone_number": "619-297-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOISTERS NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CHIEF LEGAL COUNSEL",
        "authorized_official_telephone_number": "619-441-8771",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT186221",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shea Family Care Mission Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.