Active NPI
Ivy Dell Ranch
- Nursing Facility/Intermediate Care Facility
- Escondido, CA
National Provider Identifier
1720356751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- IVY DELL RANCH
- Practice address
- 25119 N Centre City Pkwy
Escondido, CA 92026-8902 - Phone
- (760) 443-5795
- NPI assigned
- Dec 5, 2011
- 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
- Julita Ramirez, RN
- Title
- Licensee
- Phone
- (760) 443-5795
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | CA | Primary |
Addresses
Primary practice location
25119 N Centre City Pkwy
Escondido, CA 92026-8902
Mailing address
1656 Andorre GLN
Escondido, CA 92029-6642
Phone (760) 443-5795
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323043200000",
"number": "1720356751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1656 ANDORRE GLN",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920296642",
"telephone_number": "760-443-5795",
"fax_number": "760-738-6237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25119 N CENTRE CITY PKWY",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920268902",
"telephone_number": "760-443-5795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVY DELL RANCH",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "JULITA",
"authorized_official_title_or_position": "LICENSEE",
"authorized_official_telephone_number": "760-443-5795",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.