Organization Active NPI

Mission Hills Health Care,Inc,

  • Skilled Nursing Facility
  • San Diego, CA
National Provider Identifier
1740238047
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
090000077 Issued in CA
Legal business name
MISSION HILLS HEALTH CARE,INC,
Practice address
4033 6TH Ave
San Diego, CA 92103-2202
Phone
(619) 297-4086
Fax
(619) 297-9238
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Mr. Patrick Higgins
Title
Administrator
Phone
(619) 297-4086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 090000077 CA Primary

Addresses

Primary practice location

4033 6TH Ave
San Diego, CA 92103-2202

Mailing address

4033 6TH Ave
San Diego, CA 92103-2202
Phone (619) 297-4086

Other identifiers 1

IdentifierTypeStateIssuer
LTC55630FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1740238047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 6TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032202",
            "telephone_number": "619-297-4086",
            "fax_number": "619-297-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 6TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032202",
            "telephone_number": "619-297-4086",
            "fax_number": "619-297-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HILLS HEALTH CARE,INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-297-4086",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "090000077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55630F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.