1699977454 NPI number — RAMONA SENIOR CARE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699977454 NPI number — RAMONA SENIOR CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAMONA SENIOR CARE, 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:
6
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:
1699977454
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/18/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 575
Provider Second Line Business Mailing Address:
2138-A SAN VICENTE RD.
Provider Business Mailing Address City Name:
RAMONA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92065-0575
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-789-1553
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2138 SAN VICENTE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RAMONA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92065-3726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-789-1553
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CULLEN
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
760-789-0010

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)





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