MARY KRYSTAL HOME LLC
NPI 1891227120
Custodial Care Facility - Adult Care Home in San Diego, CA

Q: What is Mary Krystal Home LLC's NPI number?

The NPI number for Mary Krystal Home LLC is 1891227120. It was assigned to this organization in the NPPES registry on March 27, 2017.

Q: What is Mary Krystal Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since March 27, 2017

2361 MONTCLIFF RD, SAN DIEGO, CA 92139(619) 267-3625 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mary Krystal Home Llc NPPES

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

MARY KRYSTAL HOME LLC (NPI 1891227120) is a healthcare organization registered as an adult care home in San Diego, California and active in the NPI registry since March 2017. The organization lists Leonora Toledo Pullin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891227120

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameMARY KRYSTAL HOME LLC

Location Address2361 MONTCLIFF RDSan Diego, CA 92139-3914

Mailing Address2361 Montcliff RdSan Diego, CA 92139-3914 · (619) 267-3625

Phone(619) 267-3625

Organization SubpartNo

Authorized OfficialLeonora Toledo PullinAdministrator · (619) 267-3625

Enumeration DateMarch 27, 2017

✔ NPI 1891227120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in CA · 374602747

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2361 MONTCLIFF RD, San Diego, CA 92139

Open in Google Maps ↗

Other Identifiers 1

Medicaid374602747CA

Other Providers at the Same Location NPPES

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

LEONORA PULLIN

Technician (Attendant Care Provider)

2361 MONTCLIFF RD
SAN DIEGO, CA 92139

San Diego County (619) 267-3625

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 Mary Krystal Home LLC's NPI number?

The NPI number for Mary Krystal Home LLC is 1891227120. It was assigned to this organization in the NPPES registry on March 27, 2017.

Where is Mary Krystal Home LLC located?

Mary Krystal Home LLC is located at 2361 Montcliff Rd, San Diego, CA 92139. The listed phone number is (619) 267-3625.

What is Mary Krystal Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Mary Krystal Home LLC was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.