Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PETAL GUEST HOME LLC
NPI 1184544363
Assisted Living Facility - Assisted Living, Mental Illness in San Diego, CA

Q: What is Petal Guest Home LLC's NPI number?

The NPI number for Petal Guest Home LLC is 1184544363. It was assigned to this organization in the NPPES registry on July 17, 2026.

Q: What is Petal Guest Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since July 17, 2026

1531 PETAL CT, SAN DIEGO, CA 92114(619) 414-0243 Get Directions Write a Review

NPPES record added: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Petal Guest Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETAL GUEST HOME LLC (NPI 1184544363) is a healthcare organization registered as an assisted living, mental illness in San Diego, California and active in the NPI registry since July 2026. The organization lists Jeremy Bagaoisan, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1184544363

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NamePETAL GUEST HOME LLC

Location Address1531 PETAL CTSan Diego, CA 92114-6907

Mailing Address1531 Petal CtSan Diego, CA 92114-6907

Phone(619) 414-0243

Organization SubpartNo

Authorized OfficialJeremy BagaoisanCo-owner · (619) 414-0243

Enumeration DateJuly 17, 2026

NPPES CertifiedJuly 17, 2026

✔ NPI 1184544363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

1531 PETAL CT, San Diego, CA 92114

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petal Guest Home LLC's NPI number?

The NPI number for Petal Guest Home LLC is 1184544363. It was assigned to this organization in the NPPES registry on July 17, 2026.

Where is Petal Guest Home LLC located?

Petal Guest Home LLC is located at 1531 Petal Ct, San Diego, CA 92114. The listed phone number is (619) 414-0243.

What is Petal Guest Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Petal Guest Home LLC was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.