Organization Active NPI

Psalm 23 Assisted Living LLC

  • Adult Care Home Facility
  • San Diego, CA
National Provider Identifier
1851075626
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
PSALM 23 ASSISTED LIVING LLC
Practice address
9431 Reagan Rd
San Diego, CA 92126-2203
Phone
(858) 610-8455
NPI assigned
Jun 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Mrs. Irma Gawaran Laconsay
Title
Ceo / President
Phone
(858) 610-8455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

9431 Reagan Rd
San Diego, CA 92126-2203

Mailing address

13536 Del Marino Ave
Poway, CA 92064-5008
Phone (858) 610-8455

National Provider Directory

National Provider Directory
Tax ID family
Psalm 23 Assisted Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1851075626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13536 DEL MARINO AVE",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645008",
            "telephone_number": "858-610-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 REAGAN RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262203",
            "telephone_number": "858-610-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSALM 23 ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "LACONSAY",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "GAWARAN",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "858-610-8455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 13, 2023; 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.