1. Home
  2. Directory
  3. California
  4. San Diego
  5. Assisted Living Facility
  6. NPI Profile

JACOB HEALTH CARE ASSISTED LIVING
NPI 1851709893
Assisted Living Facility in San Diego, CA

Active since July 22, 2014
4075 54TH ST, SAN DIEGO, CA 92105(619) 582-5168 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Health Care Assisted Living NPPES

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

JACOB HEALTH CARE ASSISTED LIVING (NPI 1851709893) is a healthcare organization registered as an assisted living facility in San Diego, California and active in the NPI registry since July 2014. The organization lists Joshua Kauffman, Vice President, as its authorized official.

NPPES Registry Identity

NPI1851709893
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameJACOB HEALTH CARE ASSISTED LIVING
Location Address4075 54TH STSan Diego, CA 92105-2301
Mailing Address4075 54th StSan Diego, CA 92105-2301 · (619) 582-5168
Phone(619) 582-5168
Organization SubpartNo
Authorized OfficialJoshua KauffmanVice President · (619) 582-5168
Enumeration DateJuly 22, 2014
✔ NPI 1851709893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4075 54TH ST, San Diego, CA 92105
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UTAH LAKE HOLDINGS LLC
Skilled Nursing Facility
4075 54TH ST
SAN DIEGO, CA 92105
San Diego County (858) 798-5700
MS. NINFA MAE REYES LAZARO
Registered Nurse
4075 54TH ST
SAN DIEGO, CA 92105
San Diego County (619) 582-5168
JACOB HEALTH CARE CENTER LP
Skilled Nursing Facility
4075 54TH ST
SAN DIEGO, CA 92105
San Diego County (323) 556-0040

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 Jacob Health Care Assisted Living's NPI number?

The NPI number for Jacob Health Care Assisted Living is 1851709893. It was assigned to this organization in the NPPES registry on July 22, 2014.

Where is Jacob Health Care Assisted Living located?

Jacob Health Care Assisted Living is located at 4075 54th St, San Diego, CA 92105. The listed phone number is (619) 582-5168.

What is Jacob Health Care Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Jacob Health Care Assisted Living was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.