Shine Place
Assisted Living Facility

Address: 336 Winewood St, San Diego, CA 92114-5956
Phone: 6196006003

Shine Place (NPI# 1396374674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1396374674
Entity Type Organization
Organization Name SHINE PLACE
Practice Address 336 Winewood St
San Diego
CA 92114-5956
Practice Telephone 6196006003
Mailing Address 336 Winewood St
San Diego
CA 92114-5956
Authorized Official Name Lecia Icari (OWNER)
Authorized Official Telephone 6196006003
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-04-07
Last Update Date 2020-04-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy 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.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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1821650300 Ktre1, LLC Assisted Living Facility 3219 Canon St., San Diego, CA 92106 2019-07-03
1245698422 Kevin Posada Assisted Living Facility 3664 Governor Dr, San Diego, CA 92122-2418 2016-02-03
1477922425 Canyon Hill Senior Home II Assisted Living Facility 11075 Polaris Dr, San Diego, CA 92126-4703 2015-09-21
1760851232 Canyon Hill Senior Home I Assisted Living Facility 7241 Canyon Hill Ct, San Diego, CA 92126-2050 2015-09-15
1679957955 Santa Martha Residential #7 Assisted Living Facility 6052 Rancho Mission Rd, Unit 408, San Diego, CA 92108-2355 2015-07-16
1972982213 Teresita Pedroso Assisted Living Facility 7229 Zest St, San Diego, CA 92139-1253 2015-05-20
1902298946 Stellar Care Inc Assisted Living Facility 4518 54th St, San Diego, CA 92115-3527 2015-02-27
1225430580 Right Choice Senior Living LLC Assisted Living Facility 6354 Cascade St, San Diego, CA 92122-2421 2014-09-18
Find all providers in SAN DIEGO

Office Location

Street Address 336 WINEWOOD ST
City SAN DIEGO
State CA
Zip Code 92114-5956

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144882622 Melissa Ratsamy Peer Specialist 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 2019-07-03
1285113951 Janet Miller Prosthetist 6662 Charlene Ave, San Diego, CA 92114 2018-08-13
1568828671 Ceferina Pulgar Ruiz General Practice 6809 Freed Manor Lane, San Diego, CA 92114 2016-01-05
1275919227 Susan Reyes Registered Nurse 802a Cardiff Street, San Diego, CA 92114 2015-07-31
1225420037 Amanda Dixon Specialist/Technologist 7168 Viewcrest Dr, San Diego, CA 92114 2015-03-03
1760829097 Rea Ordono Porciuncula Registered Nurse 982 Worthington St., San Diego, CA 92114 2013-05-28
1912170176 Maxine Whitfield Specialist 5844 Mariposa Place, San Diego, CA 92114 2008-04-09
1124210844 Bahghi Russom Keflezighi Family Medicine 220 Euclid Avenue, Suite 40, San Diego, CA 92114 2007-08-16
1982701058 Mark Leroy Dimry Pharmacist 286 N Euclid Ave, Semca Pharmacy, San Diego, CA 92114 2006-09-20
1649241514 Wendy G Chacon Pediatrics 292 Euclid Avenue, #220, San Diego, CA 92114 2006-01-30
Find all providers in zip 92114

Competitor

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City SAN DIEGO
Zip Code 92114

Improve Information

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Dataset Information

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.

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