Maqui Holdings, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAQUI HOLDINGS, LLC

Doing business as

Paradise Ridge Post-Acute

Practice address

1633 Cypress LN
Paradise, CA 95969-2823

Phone

(760) 471-0388

NPI assigned

Sep 23, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Toby Tilford

Title

Ceo/President

Phone

(760) 471-0388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paradise Ridge Post-Acute Doing business as

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470528000000",
    "number": "1720457492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SAN MARCOS BLVD",
            "address_2": "#200",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692986",
            "telephone_number": "760-471-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 CYPRESS LN",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959692823",
            "telephone_number": "760-471-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAQUI HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-08-07",
        "status": "A",
        "authorized_official_last_name": "TILFORD",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "760-471-0388"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720457492",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Ridge Post-Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Eugene Maguire, PH.D
• Sirisha Mahankali, M.D.
• Susan L Mallory, M.D.
• Latisha Lee Maniord
• Donald E Mansell, M.D.
• Allison Beth March
• Lorraine Marchant
• Patricia Mary Markey-Dow, LCSW RPTS
• Marna E. Carli
• Marna E. Carli

• Skilled Nursing Facility in Paradise, CA
• Providers in Paradise, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2016; 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.