Active NPI
Mission Hills Health Care,Inc,
- Skilled Nursing Facility
- San Diego, CA
National Provider Identifier
1740238047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 090000077
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55630F | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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
- Latoya Misouria
- Miss Mary's Doula Service
- Sanaz Missaghi-Lajvardi, M.D.
- Georgina Christina Missailidis, MS, BCBA
- Mission Bay Hospice, Inc.
- Mission Hills Physical Therapy
- Mission Home Health of Rancho Mirage LLC
- Mission Home Health of San Diego LLC
- Mission Hospice Services of San Diego, LLC
- Mission Medical Group of the Inland Empire
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.