Healthcare Provider Details

I. General information

NPI: 1447105408
Provider Name (Legal Business Name): BED OF ROSES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 GAMBLE LN
ESCONDIDO CA
92029-4435
US

IV. Provider business mailing address

1004 GAMBLE LN
ESCONDIDO CA
92029-4435
US

V. Phone/Fax

Practice location:
  • Phone: 760-975-3190
  • Fax:
Mailing address:
  • Phone: 760-975-3190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: ROSE SOFRONIA WILLIAMS
Title or Position: ADMINISTRATOR/VP
Credential: RN
Phone: 760-532-8762