Organization Active NPI

Ivy Dell Ranch

  • Nursing Facility/Intermediate Care Facility
  • Escondido, CA
National Provider Identifier
1720356751
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
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

Updated by the provider on Dec 5, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.