Organization Active NPI

Stephen R Carter

  • Skilled Nursing Facility
  • El Cajon, CA
National Provider Identifier
1427129253
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
080000090 Issued in CA
Legal business name
STEPHEN R CARTER
Practice address
12436 Royal Rd
El Cajon, CA 92021-1723
Phone
(619) 443-3886
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Mr. Stephen Randall Carter, NURSING HOME ADMINIS
Title
Nha Owner
Phone
(619) 277-4350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 080000090 CA Primary

Addresses

Primary practice location

12436 Royal Rd
El Cajon, CA 92021-1723

Mailing address

PO Box 2427
El Cajon, CA 92021-0427
Phone (619) 443-3886

Other identifiers 4

IdentifierTypeStateIssuer
080000090OtherCAFACILITY LICENSE NUMBER
206370165OtherCAOSHPD NUMBER
ZZT18550FMedicaidCA
ZZT18550GMedicaidCA

Other names 1

  • The Royal Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0566361Royal Home12436 Royal Road, El Cajon, CA 92021Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory

Locations

12436 Royal Rd
El Cajon, CA 92021
Phone (619) 443-3886

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1427129253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2427",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920210427",
            "telephone_number": "619-443-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12436 ROYAL RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920211723",
            "telephone_number": "619-443-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R CARTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "NHA OWNER",
        "authorized_official_telephone_number": "619-277-4350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSING HOME ADMINIS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE NUMBER",
            "identifier": "080000090",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSHPD NUMBER",
            "identifier": "206370165",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18550F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18550G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Royal Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.