Victoria Special Care Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

080000027 Issued in CA

Legal business name

VICTORIA SPECIAL CARE CENTER INC

Doing business as

Shea Family Care Victoria

Practice address

654 S Anza St
El Cajon, CA 92020-6602

Phone

(619) 440-5005

Fax

(619) 442-8271

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Marie Cook

Title

Executive Assistant

Phone

(619) 441-8771

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shea Family Care Victoria Doing business as

Tax ID family

Anza Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Anza Healthcare, Inc.

  dba Victoria Post Acute Care

  • Skilled Nursing Facility
  • El Cajon, CA
  • NPI 1326441239
  NPD tax ID

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1578576138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 S ANZA ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206602",
            "telephone_number": "619-440-5005",
            "fax_number": "619-442-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 S ANZA ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206602",
            "telephone_number": "619-440-5005",
            "fax_number": "619-442-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA SPECIAL CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "619-441-8771",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT11306H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shea Family Care Victoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mara Verkouteren
• Kade Verona
• Nathaniel Gerona Versoza, PT, DPT
• Melanie Vespa, APN, FNP-BC
• Nayelly Vicencio
• Jacqueline Vidrio
• Isela Vigil
• Rachel Andrada Vigo
• Villa Alegre LLC
• David T Villa

• Skilled Nursing Facility in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.