Georgina Board & Care, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GEORGINA BOARD & CARE, INC.

Practice address

77 Georgina St
Chula Vista, CA 91910-6121

Phone

(619) 913-6290

Fax

(619) 934-5320

NPI assigned

Jun 1, 2023

Organization subpart

No

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

Authorized official

Name

Sherry V Moton

Title

Administrator

Phone

(619) 913-6290

Specialties & licenses 1

Addresses

Other names 1

• Georgina Board & Care, Inc. Former legal business name

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1871286161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GEORGINA ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106121",
            "telephone_number": "619-913-6290",
            "fax_number": "619-934-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GEORGINA ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106121",
            "telephone_number": "619-913-6290",
            "fax_number": "619-934-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGINA BOARD & CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "MOTON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-913-6290"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgina Board & Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adult Care Home Facility in Chula Vista, CA
• Providers in Chula Vista, 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 Jun 1, 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.