Villa Pomerado

LBN: Palomar Health
Villa Pomerado is an health care organization with primary practice located at 15615 Pomerado Rd , Poway CA 92064-2405. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Palomar Health can be contacted via phone (858) 613-4545, or through Hansen, Diane via phone (760) 740-6385.

Contact Information

Primary practice address
15615 Pomerado Rd Poway CA 92064-2405
Phone: (858) 613-4545
Fax: (858) 675-5181
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Diane
Phone: (760) 740-6385

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 080000127 California
Suppliers / Nursing Facility Supplies 332BN1400X 08000083 California
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 08000083 California

Profile Details

NPI number 1619947090
LBN Legal business name Palomar Health
DBA Doing business as Villa Pomerado
Authorized official Hansen, Diane
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 26th, 2006
Last updated Jan 28th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619947090 NPPES
California MEDICAID LTC55301F
California MEDICAID LTC70151F

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