Villadel Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

550000132 Issued in CA

Legal business name

VILLADEL INC

Doing business as

SAVA HOME

Practice address

841 Saint Sava PL
San Marcos, CA 92069-3591

Phone

(760) 480-1482

Fax

(760) 294-8681

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Herminio Fernandez Deleon, R.N.

Title

Ceo

Phone

(760) 480-1482

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAVA HOME Doing business as

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1962541177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 CAMINO MARINERO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737113",
            "telephone_number": "760-480-1482",
            "fax_number": "760-294-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 SAINT SAVA PL",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693591",
            "telephone_number": "760-480-1482",
            "fax_number": "760-294-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLADEL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "HERMINIO",
        "authorized_official_middle_name": "FERNANDEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-480-1482",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "550000132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80386F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAVA HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Virginia Delgado Family Counseling Inc
• Diana Vishnevetsky, PHARMD

• Intellectual Disabilities Intermediate Care Facility in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.