Active NPI
Stephen R Carter
- Skilled Nursing Facility
- El Cajon, CA
National Provider Identifier
1427129253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 080000090
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080000090 | Other | CA | FACILITY LICENSE NUMBER |
| 206370165 | Other | CA | OSHPD NUMBER |
| ZZT18550F | Medicaid | CA | |
| ZZT18550G | Medicaid | CA |
Other names 1
- The Royal Home
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0566361 | Royal Home | Certificate of waiver | Jul 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Riverside, CA
- NPI 1740331636
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.