Kellogg Beach Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KELLOGG BEACH HOLDINGS LLC

Practice address

1025 W 2ND Ave
Escondido, CA 92025-3839

Phone

(760) 745-1842

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Toby Tilford

Title

Co-Ceo

Phone

(858) 774-8342

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1962239590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16544 FRANZEN FARM RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272240",
            "telephone_number": "858-798-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W 2ND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253839",
            "telephone_number": "760-745-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLOGG BEACH HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "TILFORD",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "858-774-8342"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Marie Kellar
• Kristen Kelleher
• Megan Kelley, PT, DPT
• Rachel Porfirio Kelley, IMF
• Shannie Nicole Kelley, RN
• Channa Roos Kelly
• Kim Erin Kelly, MA, LMFT, LPAT
• Savannah Kendig
• Keneks Therapy, Speech Therapy Corporation
• Jessica Megan Kenitzer-Eurich, AMFT

• Skilled Nursing Facility in Escondido, CA
• Providers in Escondido, 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 Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.