R Dermody Enterprise

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

370804691 Issued in CA

Legal business name

R DERMODY ENTERPRISE

Doing business as

Rose's Greenfield Manor

Practice address

2083 Greenfield Dr
El Cajon, CA 92019-1156

Phone

(619) 444-5731

Fax

(619) 449-0033

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Rosemary Dermody

Title

President

Phone

(619) 449-8630

Specialties & licenses 1

Addresses

Other names 1

• Rose's Greenfield Manor Doing business as

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1265621387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9052 INVERNESS RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712217",
            "telephone_number": "619-444-5131",
            "fax_number": "619-449-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 GREENFIELD DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920191156",
            "telephone_number": "619-444-5731",
            "fax_number": "619-449-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R DERMODY ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "DERMODY",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-449-8630",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "CA",
            "license": "370804691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose's Greenfield Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Stephanie Quintana
• Victor Quintero
• Jovy Quiocho
• Yadira Quiroz
• R & a Medical Transit & Transportation
• Marvin John Manzano Rabanal, PT, DPT
• Rachel L Karp, Licensed Marriage and Family Therapist, Inc
• Tasha Radel
• Jeffrey T Rafalski, DDS
• Lina Raffo, DMD

• Custodial Care Facility in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Custodial Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.