1023225257 NPI number — ADULT PROTECTIVE SERVICES INC

Table of content: MISS SABRINA AIME'E SCHAEFER R.N. (NPI 1790080992)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023225257 NPI number — ADULT PROTECTIVE SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADULT PROTECTIVE SERVICES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023225257
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2840 ADAMS AVENUE
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92116-1404
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-283-5731
Provider Business Mailing Address Fax Number:
619-283-1877

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10920 SUMMIT AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTEE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92071
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-448-4366
Provider Business Practice Location Address Fax Number:
619-448-0062
Provider Enumeration Date:
05/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MURPHY
Authorized Official First Name:
MALACHY
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
619-283-5731

Provider Taxonomy Codes

  • Taxonomy code: 261QA0600X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ADU70002F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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