Organization
PALOMAR HEALTH
Active
Parent organization
PALOMAR HEALTH
Other names
The Villas at Poway, Villa Pomerado
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALOMAR HEALTH
Authorized official
DIANE HANSEN (PRESIDENT AND CEO)
(760) 740-6385
Entity
Organization
Contact information
Practice address
15615 POMERADO RD, POWAY, CA 92064-2405
(858) 613-4545
(858) 675-5181
Mailing address
2125 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4159
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080000127
CA
332BN1400X
Nursing Facility Supplies (DME)
08000083
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
08000083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55301F
—
CA
05
—
LTC70151F
—
CA
Enumeration date
01/26/2006
Last updated
01/28/2022
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