Nightingale Memory Management, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NIGHTINGALE MEMORY MANAGEMENT, LLC

Doing business as

Country Rose Estate Memory Care

Practice address

1255 Adventure LN
San Marcos, CA 92069-3201

Phone

(760) 497-4333

NPI assigned

Jul 18, 2024

Last updated

Nov 19, 2024By 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. Val Rimas Paraiso

Title

Administrator

Phone

(760) 497-4333

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Country Rose Estate Memory Care Doing business as

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1699513028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 ADVENTURE LN",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693201",
            "telephone_number": "760-497-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ADVENTURE LN",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693201",
            "telephone_number": "760-497-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE MEMORY MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "PARAISO",
        "authorized_official_first_name": "VAL",
        "authorized_official_middle_name": "RIMAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-497-4333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NUMBER DSS/CCLD",
            "identifier": "374064115",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Rose Estate Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nicole Nilsen
• Amy Meredith Nitecki, OTR/L
• Lechi Nkwocha, DPT
• Twila A Noble, N.P.-C
• Robyn Lynn Nolta, LMFT

• Assisted Living Facility in San Marcos, CA
• Providers in San Marcos, 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 Nov 19, 2024; 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.