=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629892013
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EL NORTE HOMECARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/12/2024
-----------------------------------------------------
Last Update Date | 11/12/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1897 E EL NORTE PKWY
-----------------------------------------------------
City | ESCONDIDO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92027-1106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-610-4833
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1897 E EL NORTE PKWY
-----------------------------------------------------
City | ESCONDIDO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92027-1106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-610-4833
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR / LICENSEE
-----------------------------------------------------
Name | HELEN RAMIREZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 858-610-4833
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------