Organization Active NPI

Lemon Grove Terrace

  • Assisted Living Facility
  • Lemon Grove, CA
National Provider Identifier
1457049108
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LEMON GROVE TERRACE
Practice address
8554 Calle Norte
Lemon Grove, CA 91945-3301
Phone
(619) 302-4210
Fax
(619) 303-4060
NPI assigned
Apr 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Celia Arenas Meneses, RN
Title
Administrator/Licensee
Phone
(619) 302-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8554 Calle Norte
Lemon Grove, CA 91945-3301

Mailing address

8554 Calle Norte
Lemon Grove, CA 91945-3301
Phone (619) 302-4210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1457049108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8554 CALLE NORTE",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919453301",
            "telephone_number": "619-302-4210",
            "fax_number": "619-303-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8554 CALLE NORTE",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919453301",
            "telephone_number": "619-302-4210",
            "fax_number": "619-303-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMON GROVE TERRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "MENESES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "ARENAS",
        "authorized_official_title_or_position": "ADMINISTRATOR/LICENSEE",
        "authorized_official_telephone_number": "619-302-4210",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemon Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.