St. Paul'S Pace

LBN: Community Eldercare San Diego
St. Paul'S Pace is an health care organization with primary practice located at 111 Elm St , San Diego CA 92101-2692. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Managed Care Organizations / Preferred Provider Organization. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Community Eldercare San Diego can be contacted via phone (619) 677-3800, or through Gois, Amanda Joy via phone (619) 677-3800.

Contact Information

Primary practice address
111 Elm St San Diego CA 92101-2692
Fax: (619) 781-8186
Website:
Authorized official contact:
Name: Gois, Amanda Joy

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 550001964 California
Managed Care Organizations / Preferred Provider Organization 305R00000X California

Profile Details

NPI number 1386987915
LBN Legal business name Community Eldercare San Diego
DBA Doing business as St. Paul'S Pace
Authorized official Gois, Amanda Joy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2013
Last updated Apr 2nd, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386987915 NPPES
California MEDICAID 057

Popular Providers