San Joaquin Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SAN JOAQUIN ASSISTED LIVING LLC

Practice address

4478 San Joaquin St
Oceanside, CA 92057

Phone

(760) 754-2774

NPI assigned

Aug 21, 2015

Last updated

Aug 21, 2015By 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

Remedios Velasco Inocencio

Title

Owner/Administrator

Phone

(760) 754-2774

Specialties & licenses 1

Addresses

Other names 1

• Paradise Home Care Other name

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1639546997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4478 SAN JOAQUIN ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92057",
            "telephone_number": "760-754-2774",
            "fax_number": "760-529-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4478 SAN JOAQUIN ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92057",
            "telephone_number": "760-754-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "INOCENCIO",
        "authorized_official_first_name": "REMEDIOS",
        "authorized_official_middle_name": "VELASCO",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "760-754-2774"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Oceanside, CA
• Providers in Oceanside, 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 Aug 21, 2015; 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.