Organization Active NPI

Somerset Special Care Center Inc

  • Skilled Nursing Facility
  • El Cajon, CA
National Provider Identifier
1598871808
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
090000027 Issued in CA
Legal business name
SOMERSET SPECIAL CARE CENTER INC
Practice address
151 Claydelle Ave
El Cajon, CA 92020-4505
Phone
(619) 442-0245
Fax
(619) 442-3631
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Ms. Mary Patricia Miller
Title
Chief Legal Counsel
Phone
(619) 441-8771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 090000027 CA Primary

Addresses

Primary practice location

151 Claydelle Ave
El Cajon, CA 92020-4505

Mailing address

151 Claydelle Ave
El Cajon, CA 92020-4505
Phone (619) 442-0245

Other identifiers 1

IdentifierTypeStateIssuer
ZZT11100HMedicaidCA

Other names 1

  • Shea Family Care Somerset Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Claydelle Healthcare LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1598871808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 CLAYDELLE AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204505",
            "telephone_number": "619-442-0245",
            "fax_number": "619-442-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 CLAYDELLE AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204505",
            "telephone_number": "619-442-0245",
            "fax_number": "619-442-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET SPECIAL CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CHIEF LEGAL COUNSEL",
        "authorized_official_telephone_number": "619-441-8771",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "090000027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT11100H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shea Family Care Somerset",
            "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 Feb 7, 2014; 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.