Organization Active NPI

Tree of Life Elder Care, Inc

  • Adult Care Home Facility
  • El Cajon, CA
National Provider Identifier
1699142356
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
374602652 Issued in CA
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

Updated by the provider on Aug 28, 2015

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.