Maddigrl LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

374603045 Issued in CA

Legal business name

MADDIGRL LLC

Doing business as

Madeleine's Senior Living

Practice address

2880 Wanek Rd
Escondido, CA 92027-2889

Phone

(760) 781-1027

Fax

(888) 588-0942

NPI assigned

Jun 2, 2014

Last updated

Jun 2, 2014By 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

Mr. Teofilo Posadas Mendoza Jr.

Title

President

Phone

(619) 934-7884

Specialties & licenses 2

Addresses

Other names 1

• Madeleine's Senior Living Doing business as

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1609288133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 ATWATER ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131453",
            "telephone_number": "619-934-7884",
            "fax_number": "888-588-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 WANEK RD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272889",
            "telephone_number": "760-781-1027",
            "fax_number": "888-588-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDIGRL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "TEOFILO",
        "authorized_official_middle_name": "POSADAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-934-7884",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "374603045",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "CA",
            "license": "374603045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madeleine's Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cory Devin Mackinnon
• Tanya Geanna Macleod
• Katherine E Macmahon
• Mariette A Macrander, MD
• Made Jasmine Macy
• Krista Maddox
• Ashlyn Mader
• Madi Med LLC
• Gary Addison Madison, DDS
• Eloise Madriaga, CADC1, MPSS

• Assisted Living Facility in Escondido, CA
• Providers in Escondido, 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 Jun 2, 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.