Healthcare Provider Details

I. General information

NPI: 1629129267
Provider Name (Legal Business Name): HEALTHCARE MANAGEMENT SYSTEMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 07/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 E BRADLEY AVE
EL CAJON CA
92021-3110
US

IV. Provider business mailing address

675 E BRADLEY AVE
EL CAJON CA
92021-3110
US

V. Phone/Fax

Practice location:
  • Phone: 619-448-6633
  • Fax: 619-448-5462
Mailing address:
  • Phone: 619-448-6633
  • Fax: 619-448-5462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0800153
License Number StateCA

VIII. Authorized Official

Name: KEVIN ERWIN CABLAYAN
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 61952319641