EDGEMOOR NPI 1003001199

Skilled Nursing Facility in Santee, CA

About EDGEMOOR

Edgemoor is a provider in Santee, CA. The NPI number assigned to this provider is 1003001199. The practitioner's primary taxonomy code is Skilled Nursing Facility (314000000X). The provider is registered as an organization and their NPI record was last updated 11 years ago.

NPI

1003001199

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameEDGEMOOR
Provider Location Address9065 EDGEMOOR DRIVE EDGEMOOR HOSPITAL SANTEE, CA 92071 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address9065 EDGEMOOR DR SANTEE, CA 92071 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-11-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-11-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

EDGEMOOR
9065 EDGEMOOR DRIVE
EDGEMOOR HOSPITAL
SANTEE, CA
ZIP 92071
Phone: (619) 956-2978
Get Directions

Mailing Address

EDGEMOOR
9065 EDGEMOOR DR
SANTEE, CA
ZIP 92071
Phone:

Primary Taxonomy

Taxonomy Code314000000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSkilled Nursing Facility
TypeNursing & Custodial Care Facilities
License No.461705
License StateCA
Taxonomy Description(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Authorized Official

Authorized Official NameMRS. MYRNA CORPUZ ALMUETE Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleRN
Authorized Official Phone(619) 956-2978

Map Location


EDGEMOOR address is 9065 EDGEMOOR DRIVE EDGEMOOR HOSPITAL SANTEE, CA 92071