# PALOMAR HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PALOMAR HEALTH
- **Other names:** The Villas at Poway, Villa Pomerado
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619947090
- **Legal business name:** PALOMAR HEALTH
- **Authorized official:** DIANE HANSEN (PRESIDENT AND CEO)
- **Authorized official phone:** (760) 740-6385

## Contact information

- **Practice address:** 15615 POMERADO RD, POWAY, CA 92064-2405
- **Practice address phone:** (858) 613-4545
- **Practice address fax:** (858) 675-5181
- **Mailing address:** 2125 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 080000127 | CA | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | 08000083 | CA | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 08000083 | CA | — |

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 01/28/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55301F | — | CA |
| 05 | — | LTC70151F | — | CA |