PARADISE HILLS CONVALESCENT CENTER
NPI 1003811977
Skilled Nursing Facility in San Diego, CA

Active since June 16, 2005
6061 BANBURY ST, SAN DIEGO, CA 92139(619) 475-2211(619) 479-5326 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Skilled Nursing Facility

About PARADISE HILLS CONVALESCENT CENTER

This page provides the complete NPI Profile along with additional information for Paradise Hills Convalescent Center, a provider established in San Diego, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1003811977 assigned on June 2005. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Paradise Hills Convalescent Center. The authorized official of this NPI record is Pamela J Caddell (Administrative Manager)

NPI
1003811977 Verify this NPI
Provider Legal Name
MANOS BANBURY CORPORATION
Other Organization Name
PARADISE HILLS CONVALESCENT CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6061 BANBURY ST SAN DIEGO, CA 92139
Location Phone
(619) 475-2211
Location Fax
(619) 479-5326
Mailing Address
6061 BANBURY ST SAN DIEGO, CA 92139
Mailing Phone
(619) 475-2211
Mailing Fax
(619) 479-5326
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License State
CA
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAMELA J CADDELL

Authorized Official Title
ADMINISTRATIVE MANAGER
Authorized Official Phone
(619) 475-2211

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZZT18684FMEDICAID (05)CA 

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse's Aide
6061 BANBURY ST
SAN DIEGO, CA 92139
Skilled Nursing Facility
6061 BANBURY ST
SAN DIEGO, CA 92139

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003811977, enumerated as an "organization" on June 16, 2005.

The provider is located at 6061 BANBURY ST SAN DIEGO, CA 92139 and the phone number is (619) 475-2211.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.