# STEPHEN R CARTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Royal Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427129253
- **Authorized official:** MR. STEPHEN RANDALL CARTER NURSING HOME ADMINIS (NHA OWNER)
- **Authorized official phone:** (619) 277-4350

## Contact information

- **Practice address:** 12436 ROYAL RD, EL CAJON, CA 92021-1723
- **Practice address phone:** (619) 443-3886
- **Mailing address:** PO BOX 2427, EL CAJON, CA 92021-0427
- **Mailing address phone:** (619) 443-3886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 080000090 | CA | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 07/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080000090 | FACILITY LICENSE NUMBER | CA |
| 01 | — | 206370165 | OSHPD NUMBER | CA |
| 05 | — | ZZT18550F | — | CA |
| 05 | — | ZZT18550G | — | CA |
