CSJ Enterprise, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CSJ ENTERPRISE, LLC

Doing business as

Unlimited Care SD

Practice address

7187 Camino Degrazia Unit 87
San Diego, CA 92111-7837

Phone

(858) 280-4500

Fax

(858) 368-6734

NPI assigned

Jul 18, 2017

Last updated

Jul 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Sherod Johnson

Title

Owner

Phone

(858) 280-4500

Specialties & licenses 1

Addresses

Other names 1

• Unlimited Care SD Doing business as

Locations

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1790208130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 FENTON PKWY STE 107-252",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084746",
            "telephone_number": "858-280-4500",
            "fax_number": "858-368-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7187 CAMINO DEGRAZIA UNIT 87",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117837",
            "telephone_number": "858-280-4500",
            "fax_number": "858-368-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSJ ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SHEROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-280-4500"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unlimited Care SD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.