Ktre1, LLC
Alzheimer Center (Dementia Center)

Address: 3219 Canon St., San Diego, CA 92106
Phone: 6192555616

Ktre1, LLC (NPI# 1821650300) 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) 1821650300
Entity Type Organization
Organization Name KTRE1, LLC
Practice Address 3219 Canon St.
San Diego
CA 92106
Practice Telephone 6192555616
Practice Fax Number 6192551080
Mailing Address 3219 Canon St.
San Diego
CA 92106
Mailing Telephone 6192555616
Mailing Fax Number 6192551080
Authorized Official Name Jeffrey Settineri (OWNER)
Authorized Official Telephone 6192555616
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-07-03
Last Update Date 2019-07-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 310400000X Assisted Living Facility Nursing & Custodial Care Facilities
Yes 311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Bayview Senior Assisted Living Doing Business As Name - Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1821641507 Ktre1, LLC Alzheimer Center (Dementia Center) 3219 Canon St, San Diego, CA 92106-2512 2019-07-22

Taxonomy Information

Taxonomy Code 311500000X
Grouping Nursing & Custodial Care Facilities
Classification Alzheimer Center (Dementia Center)

Taxonomy Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821641507 Ktre1, LLC Alzheimer Center (Dementia Center) 3219 Canon St, San Diego, CA 92106-2512 2019-07-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104425925 Pacifica Newport Mesa LLC Alzheimer Center (Dementia Center) 2891 Bear St, Costa Mesa, CA 92626-4306 2020-10-22
1992304729 Pacifica Riverside Sl Lp Alzheimer Center (Dementia Center) 6280 Clay St, Riverside, CA 92509-6005 2020-10-22
1235738071 Pacifica Valley Crest Lp Alzheimer Center (Dementia Center) 18524 Corwin Rd, Apple Valley, CA 92307-2302 2020-10-22
1255930095 Pacifica Senior Living Vacaville LLC Alzheimer Center (Dementia Center) 431 Nut Tree Rd, Vacaville, CA 95687-3508 2020-10-22
1689273401 St Pauls Modesto Lp Alzheimer Center (Dementia Center) 2325 St Pauls Way, Modesto, CA 95355-3309 2020-10-22
1356980494 Memory Spa, LLC Alzheimer Center (Dementia Center) 1950 Sunny Crest Dr Ste 1400, Fullerton, CA 92835-3642 2020-01-06
1851940308 Vista Prado Inc Alzheimer Center (Dementia Center) 105 Power Dr, Vallejo, CA 94589-2529 2019-09-07
1497229090 Ktre3, LLC Alzheimer Center (Dementia Center) 7971 Culowee St, La Mesa, CA 91942-5509 2019-01-16
1184124513 Pacifica Sl Grove Street Lp Alzheimer Center (Dementia Center) 725 Grove Street, Healdsburg, CA 95448 2018-02-12
1659809267 Hawkes O-side 1, LLC Alzheimer Center (Dementia Center) 2108 S El Camino Real, Oceanside, CA 92054-6203 2017-05-25
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Office Location

Street Address 3219 CANON ST.
City SAN DIEGO
State CA
Zip Code 92106

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093289910 Ahsha Smith Occupational Therapist 2026 Roosevelt Road, #105, San Diego, CA 92106 2019-01-14
1710429147 William Anthony Rodriquez Social Worker 140 Sylvester Ln. Building 500, Sarp Naval Base Pt Loma, San Diego, CA 92106 2016-11-16
1992123285 Mark Wilson Occupational Therapist 2820 Roosevelt Road Ste 105, San Diego, CA 92106 2014-04-03
1659704542 Sarah Hanem Izaguirre Counselor 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 2013-08-14
1285945451 Danielle R Michaelis Castillo Marriage & Family Therapist 2305 Historic Decatur Rd., Suite 100, San Diego, CA 92106 2010-06-23
1588991145 Philip Charles Rumsey Dentist 1050 Rosecrans St., Suite J, San Diego, CA 92106 2009-11-03
1801024575 David Michael Spera Dentist 1050 Rosecrans, #j, San Diego, CA 92106 2009-07-01
1548408834 Dolores Sanchez Pullen Counselor 1360 Rosecrans Street, Suite I, San Diego, CA 92106 2009-01-26
1215188362 Jodi Lynn Ceballos Psychologist 2186 Historic Decatur Rd Unit 40, San Diego, CA 92106 2008-10-07
1407051485 James Robert Becroft Chiropractor 5055 N. Harbor Dr, 110, San Diego, CA 92106 2007-06-19
Find all providers in zip 92106

Competitor

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City SAN DIEGO
Zip Code 92106

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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.