Faith Villa LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FAITH VILLA LLC

Practice address

42 Sierra Way
Chula Vista, CA 91911-1418

Phone

(619) 817-6568

NPI assigned

Jun 19, 2024

Organization subpart

No

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

Authorized official

Name

Ma Mevyl Malapit De Guzman

Title

Administrator

Phone

(619) 817-6568

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1376387001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SIERRA WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111418",
            "telephone_number": "619-817-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SIERRA WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111418",
            "telephone_number": "619-817-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH VILLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "MA MEVYL",
        "authorized_official_middle_name": "MALAPIT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-817-6568"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Chula Vista, CA
• Providers in Chula Vista, 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 Aug 21, 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.