# KELLOGG BEACH HOLDINGS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962239590
- **Authorized official:** TOBY TILFORD (CO-CEO)
- **Authorized official phone:** (858) 774-8342

## Contact information

- **Practice address:** 1025 W 2ND AVE, ESCONDIDO, CA 92025-3839
- **Practice address phone:** (760) 745-1842
- **Mailing address:** 16544 FRANZEN FARM RD, SAN DIEGO, CA 92127-2240
- **Mailing address phone:** (858) 798-5700

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2024
- **Last updated:** 11/15/2024