NPIMap

Organization Active NPI

Bosworth Garden LLC

  • Assisted Living Facility
  • El Cajon, CA
National Provider Identifier
1487415014
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BOSWORTH GARDEN LLC
Practice address
1340 Bosworth St
El Cajon, CA 92019-2337
Phone
(619) 588-5843
Fax
(619) 588-5843
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Mrs. Roselle OliNPI 1225899701
Title
Licensee
Phone
(619) 713-4215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1340 Bosworth St
El Cajon, CA 92019-2337

Mailing address

1340 Bosworth St
El Cajon, CA 92019-2337
Phone (619) 588-5843

National Provider Directory

National Provider Directory

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": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1487415014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BOSWORTH ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920192337",
            "telephone_number": "619-588-5843",
            "fax_number": "619-588-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BOSWORTH ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920192337",
            "telephone_number": "619-588-5843",
            "fax_number": "619-588-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSWORTH GARDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "OLI",
        "authorized_official_first_name": "ROSELLE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "619-713-4215",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 1, 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.