Active NPI
Tree of Life Elder Care, Inc
- Adult Care Home Facility
- El Cajon, CA
National Provider Identifier
1699142356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 374602652
- Legal business name
- TREE OF LIFE ELDER CARE, INC
- Practice address
- 1308 Hacienda Dr
El Cajon, CA 92020-1324 - Phone
- (619) 913-2666
- Fax
- (619) 599-8161
- NPI assigned
- Aug 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Montgomery Ostrander, DD, MSW, MBA
- Title
- Ceo
- Phone
- (619) 913-2666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 374602652 | CA | Primary |
Addresses
Primary practice location
1308 Hacienda Dr
El Cajon, CA 92020-1324
Mailing address
1308 Hacienda Dr
El Cajon, CA 92020-1324
Phone (619) 913-2666
Other names 1
- Family Residential Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440720000000",
"number": "1699142356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 HACIENDA DR",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920201324",
"telephone_number": "619-913-2666",
"fax_number": "619-599-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 HACIENDA DR",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920201324",
"telephone_number": "619-913-2666",
"fax_number": "619-599-8161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREE OF LIFE ELDER CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A",
"authorized_official_last_name": "OSTRANDER",
"authorized_official_first_name": "MONTGOMERY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-913-2666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DD, MSW, MBA"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "CA",
"license": "374602652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Residential Care",
"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 Aug 28, 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.