VISTA DEL LAGO MEMORY CARE
NPI 1043745417
Alzheimer Center (Dementia Center) in Escondido, CA

NPI Status: Active since April 24, 2017

Contact Information

1817 AVENIDA DEL DIABLO
ESCONDIDO, CA
ZIP 92029
Phone: (760) 741-2888

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  • Organization
  • Alzheimer Center (Dementia Center)

About VISTA DEL LAGO MEMORY CARE

This page provides the complete NPI Profile along with additional information for Vista Del Lago Memory Care, a provider established in Escondido, California operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1043745417 assigned on April 2017. The practitioner's primary taxonomy code is 311500000X with license number 374603664 (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Vista Del Lago Memory Care. The authorized official of this NPI record is Scott Kirby (Ceo)

NPI
1043745417
Provider Legal Name
TPD DEL DIOS LLC
Other Organization Name
VISTA DEL LAGO MEMORY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1817 AVENIDA DEL DIABLO ESCONDIDO, CA 92029
Location Phone
(760) 741-2888
Mailing Address
1817 AVENIDA DEL DIABLO ESCONDIDO, CA 92029
Mailing Phone
(760) 741-2888
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2017
Last Update Date
04-24-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
License No.
374603664
License State
CA
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT KIRBY

Authorized Official Title
CEO
Authorized Official Phone
(619) 201-5888

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043745417
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20831441042
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 4 + 4 + 1 + 0 + 4 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1043745417 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962742874SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC.
Organization
Clinic/Center (Radiology)1817 AVENIDA DEL DIABLO
ESCONDIDO, CA 92029
(760) 739-2000
1154978021BAYSHIRE LLC
Organization
Assisted Living Facility1817 AVENIDA DEL DIABLO
ESCONDIDO, CA 92029
(760) 741-2888
1720638208DEL DIOS CARE, LLC
Organization
Assisted Living Facility1817 AVENIDA DEL DIABLO
ESCONDIDO, CA 92029
(858) 227-9209
1871015859CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP
Organization
Internal Medicine1817 AVENIDA DEL DIABLO
ESCONDIDO, CA 92029
(760) 993-3245
1326857582 KRISTIN ERIKA PARAGAS
Individual
Occupational Therapist1817 AVENIDA DEL DIABLO
ESCONDIDO, CA 92029
(760) 580-4007
1386453538 DEREK O'DONNELL
Individual
Physical Therapist1817 AVENIDA DEL DIABLO
ESCONDIDO, CA 92029
(760) 580-4007
1457160616 ROBERT MARTIN KONISHI OTR
Individual
Occupational Therapist1817 AVENIDA DEL DIABLO
ESCONDIDO, CA 92029
(760) 580-4007
1962211136 CYRIL LICUDINE
Individual
Occupational Therapy Assistant1817 AVENIDA DEL DIABLO
ESCONDIDO, CA 92029
(760) 580-4007
1982413159 TIFFANY QUION
Individual
Occupational Therapy Assistant1817 AVENIDA DEL DIABLO
ESCONDIDO, CA 92029
(760) 580-4007
1891504577 CARLYN STECH
Individual
Occupational Therapy Assistant1817 AVENIDA DEL DIABLO
ESCONDIDO, CA 92029
(760) 580-4007
1992517478 VIVIAN DIEP
Individual
Physical Therapy Assistant1817 AVENIDA DEL DIABLO
ESCONDIDO, CA 92029
(760) 580-4007

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043745417, enumerated in the NPI registry as an "organization" on April 24, 2017

The provider is located at 1817 Avenida Del Diablo Escondido, Ca 92029 and the phone number is (760) 741-2888

This medical organization specializes in Alzheimer Center (Dementia Center) with taxonomy code 311500000X

This NPI record was last updated on April 24, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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