R DERMODY ENTERPRISE (NPI# 1265621387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265621387 |
| Entity Type | Organization |
| Organization Name | R DERMODY ENTERPRISE |
| Other Organization Name | ROSE'S GREENFIELD MANOR |
| Practice Address |
2083 Greenfield Dr El Cajon CA 92019-1156 |
| Mailing Address |
9052 Inverness Rd Santee CA 92071-2217 |
| Practice Telephone | 6194445731 |
| Practice Fax Number | 6194490033 |
| Mailing Telephone | 6194445131 |
| Mailing Fax Number | 6194490033 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-07-16 |
| Authorized Official Name | MS. ROSEMARY DERMODY (PRESIDENT) |
| Authorized Official Telephone | 6194498630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 370804691 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Rose's Greenfield Manor | Doing Business As Name - Organization |
| Street Address |
2083 GREENFIELD DR |
| City | EL CAJON |
| State | CA |
| Zip Code | 92019-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299747 | Vanessa Salem | Occupational Therapy Assistant | 11368 Via Rancho San Diego Unit F, El Cajon, CA 92019 | 2016-12-06 |
| 1497103865 | Jocelyn De Jesus Tuason | Assisted Living Facility | 11945 Via Hacienda, El Cajon, CA 92019 | 2016-05-26 |
| 1508241340 | Dalia Jamma | Dentist | 2990 Jamacha Rd # 140, El Cajon, CA 92019 | 2015-07-22 |
| 1720477060 | Angela Marie Robertson | Registered Nurse | 208 Almyra Rd, El Cajon, CA 92019 | 2015-01-09 |
| 1730483785 | Christina Lynn Winter | Dentist | 183 S. First Street, El Cajon, CA 92019 | 2011-01-05 |
| 1649588005 | Anna Liza Celso Baston | Nurse Practitioner | 1465 E Lexington, Unit 10-c, El Cajon, CA 92019 | 2010-09-20 |
| 1194050997 | Cokey Powell | Psychologist | 2815 Steele Cajon Rd., El Cajon, CA 92019 | 2009-10-12 |
| 1871738039 | Volunteers In Medicine - San Diego, Inc. | Voluntary or Charitable | 1465 E Madison Avenue, El Cajon, CA 92019 | 2008-12-02 |
| 1568507168 | Dianna Lee Norman | Family Medicine | 165 S First Street, El Cajan, CA 92019 | 2007-02-21 |
| 1780746263 | Ebtissam H Korkis | Family Medicine | 1530 Jamacha Road, Unit E Unit F, El Cajon, CA 92019 | 2006-12-14 |
| Find all providers in zip 92019 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740826163 | Special Request LLC | Custodial Care Facility | 18821 Carlton Ave, Castro Valley, CA 94546-2907 | 2019-11-20 |
| 1336799170 | Sierra Care At The Lake,llc | Custodial Care Facility | 648 W Sierra Ave, Clovis, CA 93612-0151 | 2019-09-13 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1558825133 | Calrecup Care, Inc | Custodial Care Facility | 10510 S Vermont Ave, Los Angeles, CA 90044-3022 | 2019-01-28 |
| 1083185474 | Ray Joanne Leyva | Custodial Care Facility | 15617 Red Oak Way, Victorville, CA 92394-3228 | 2018-12-10 |
| 1760965081 | W.p.r. LLC | Custodial Care Facility | 2733 Country Club Blvd Apt 87, Stockton, CA 95204-3975 | 2018-09-12 |
| 1730674342 | Harbor Recuperative Care LLC | Custodial Care Facility | 11134 Sepulveda Blvd, Mission Hills, CA 91345-1114 | 2018-06-26 |
| 1548778152 | Sk Marathon Home Care | Custodial Care Facility | 7246 Fallbrook Ave, West Hills, CA 91307 | 2018-01-17 |
| 1386176808 | Mickey Iliescu | Custodial Care Facility | 7125 Main Ave, Orangevale, CA 95662-2813 | 2017-04-03 |
| 1013454289 | A Caring Heart Residence, Inc. | Custodial Care Facility | 371 E Millan St, Chula Vista, CA 91910-6313 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on R DERMODY ENTERPRISE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.