Healthcare Provider Details

I. General information

NPI: 1265122741
Provider Name (Legal Business Name): HOME OF PURPOSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2023
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 PINECREST AVE
ESCONDIDO CA
92025-3857
US

IV. Provider business mailing address

37544 RIVER OATS LN
MURRIETA CA
92563-3571
US

V. Phone/Fax

Practice location:
  • Phone: 619-309-5740
  • Fax:
Mailing address:
  • Phone: 619-309-5740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JASON LEGASPI
Title or Position: LICENSEE
Credential:
Phone: 619-309-5740