St Dominics Senior Care Home

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

2007001 Issued in GU

Legal business name

ST DOMINICS SENIOR CARE HOME

Practice address

350 North Sabana Drive
Barrigada Heights, GU 96913-1262

Phone

(671) 632-9370

Fax

(671) 637-1679

NPI assigned

Dec 3, 2007

Last updated

Dec 3, 2007By 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

Emelita Joson Cinco, NHA

Title

Administrator

Phone

(671) 632-9370

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Isabel Balbin Nieveras, RN, BSN, MSN

  • Registered Nurse
  • Barrigada, GU
  • NPI 1982191227
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1881876779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NORTH SABANA DRIVE",
            "city": "BARRIGADA HEIGHTS",
            "state": "GU",
            "postal_code": "969131262",
            "telephone_number": "671-632-9370",
            "fax_number": "671-637-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NORTH SABANA DRIVE",
            "city": "BARRIGADA HEIGHTS",
            "state": "GU",
            "postal_code": "969131262",
            "telephone_number": "671-632-9370",
            "fax_number": "671-637-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST DOMINICS SENIOR CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "CINCO",
        "authorized_official_first_name": "EMELITA",
        "authorized_official_middle_name": "JOSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "671-632-9370",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "GU",
            "license": "2007001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICALLY INDIGENT PROGRA",
            "identifier": "405",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelin Gouniai, LPC
• James J Kiffer, PHD CLINICAL PSYCHOL

• Nursing Facility/Intermediate Care Facility in Barrigada Heights, GU
• Providers in Barrigada Heights, GU by specialty
• Nursing Facility/Intermediate Care Facility in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.