=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053270561
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | P&P HOMES 2
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/20/2026
-----------------------------------------------------
Last Update Date | 01/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6434 JOUGLARD ST
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92114-6930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-327-0429
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6434 JOUGLARD ST
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92114-6930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-327-0429
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | PRECY TANG HULBURD
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 858-366-5062
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------