California Special Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

080000024 Issued in CA

Legal business name

CALIFORNIA SPECIAL CARE CENTER

Doing business as

Shea Family Care Grossmont

Practice address

8787 Center Dr
La Mesa, CA 91942-3034

Phone

(619) 460-4444

Fax

(619) 460-6341

NPI assigned

Aug 14, 2006

Last updated

Feb 7, 2014By 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

Ms. Mary Patricia Miller

Title

Chief Legal Counsel

Phone

(619) 441-8771

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shea Family Care Grossmont Doing business as

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1942213681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423034",
            "telephone_number": "619-460-4444",
            "fax_number": "619-460-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423034",
            "telephone_number": "619-460-4444",
            "fax_number": "619-460-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SPECIAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CHIEF LEGAL COUNSEL",
        "authorized_official_telephone_number": "619-441-8771",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05632G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shea Family Care Grossmont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.