Residence Care Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RESIDENCE CARE INC.

Doing business as

Lilly's Villa II

Practice address

5996 Sagebrush Rd
La Jolla, CA 92037-7039

Phone

(619) 757-3918

NPI assigned

Sep 7, 2022

Last updated

Sep 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Winblad

Title

Licensee

Phone

(619) 757-3918

Specialties & licenses 1

Addresses

Other names 1

• Lilly's Villa II Doing business as

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1538880547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5996 SAGEBRUSH RD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377039",
            "telephone_number": "619-757-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5996 SAGEBRUSH RD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377039",
            "telephone_number": "619-757-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENCE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "WINBLAD",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "619-757-3918"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lilly's Villa II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in La Jolla, CA
• Providers in La Jolla, 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 Sep 7, 2022; 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.