NPIMap

Organization Active NPI

Edgemoor Hospital

  • Licensed Vocational Nurse
  • Encinitas, CA
National Provider Identifier
1336345644
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN189522 Issued in CA
Legal business name
EDGEMOOR HOSPITAL
Practice address
143 Village Run E
Encinitas, CA 92024-3043
Phone
(760) 715-3484
NPI assigned
Jun 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Marlene Jean Hill, LVN
Title
LVN
Phone
(760) 715-3484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164X00000X VN189522 CA Primary

Addresses

Primary practice location

143 Village Run E
Encinitas, CA 92024-3043

Mailing address

143 Village Run E
Encinitas, CA 92024-3043
Phone (760) 715-3484

National Provider Directory

National Provider Directory
Tax ID family
Edgemoor Geriatric Hospital101 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336345644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 VILLAGE RUN E",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243043",
            "telephone_number": "760-715-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 VILLAGE RUN E",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243043",
            "telephone_number": "760-715-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEMOOR HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "LVN",
        "authorized_official_telephone_number": "760-715-3484",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN189522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.