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
Phone: (619) 677-3800
Fax: (619) 781-8186
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386987915 | NPPES |
California | MEDICAID | 057 |
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