Modiv Health LLC.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MODIV HEALTH LLC.

Practice address

1195 Linda Vista Dr Ste H
San Marcos, CA 92078-3824

Phone

(619) 310-3633

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jeremie Michael Meyers

Title

Ceo

Phone

(877) 391-9710

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1679191977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 LINDA VISTA DR STE H",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920783824",
            "telephone_number": "619-310-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 LINDA VISTA DR STE H",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920783824",
            "telephone_number": "619-310-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODIV HEALTH LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "JEREMIE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-391-9710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jeremie@modivhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1195 Linda Vista Dr Ste H",
            "city": "San Marcos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920783824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lonika Misra, L.AC.
• Mission Home Health of San Marcos, Inc.
• Christian Mitchell
• Mobile Pulmonary
• Ashleigh Modglin
• Allison Fain Moecher, NP
• Silvia Alejandra Moedano
• Suzanne Moineau, SLP
• Parisa Mojaver
• Mario Mojica

• Case Management Agency in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.