Mayflower Home Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MAYFLOWER HOME CARE LLC

Practice address

7404 Skyline Dr
San Diego, CA 92114-4621

Phone

(619) 230-5328

NPI assigned

Oct 17, 2022

Last updated

Oct 17, 2022By 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

Eunice Pagulayan Ambal

Title

President/Ceo

Phone

(619) 888-2542

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1861118242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 SKYLINE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921144621",
            "telephone_number": "619-230-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 SKYLINE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921144621",
            "telephone_number": "619-230-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "AMBAL",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "PAGULAYAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "619-888-2542"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Mayes
• Teri L Mayes, DO
• Terrance Alexander Mayes, IDC
• Tina Louise Mayes, PH.D.
• Alan Richard Mayfield, M.D.
• Jacob Mayhall
• Gregory A Maynard, M.D.
• Laurie G Maynard, LCSW
• Mike John Maynard, PTA
• Reese Maynard

• Adult Care Home Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.