Provider Demographics
NPI:1285306613
Name:CALIFORNIA HOMES FOR SENIORS, INC.
Entity type:Organization
Organization Name:CALIFORNIA HOMES FOR SENIORS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:SANTOS
Authorized Official - Last Name:QUILLOPE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:619-962-7966
Mailing Address - Street 1:PO BOX 1201
Mailing Address - Street 2:
Mailing Address - City:BONITA
Mailing Address - State:CA
Mailing Address - Zip Code:91908-1201
Mailing Address - Country:US
Mailing Address - Phone:619-962-7966
Mailing Address - Fax:619-449-4200
Practice Address - Street 1:1061 E BRADLEY AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-1232
Practice Address - Country:US
Practice Address - Phone:619-448-2870
Practice Address - Fax:619-448-2870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility