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NPI 1174588677 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · El Cajon, CA
Provider details
- NPI number
- 1174588677
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jan Adams, Director of Finance(619) 938-2864
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1825 Gillespie Way
#200
El Cajon, CA 92020-0501
Phone: (619) 938-2850
Fax: (619) 938-3051
Street-level locationGet directions
Mailing address
1825 Gillespie Way
El Cajon, CA 92020-0501
Other names (DBA / former)
- Other name
- Bermuda
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.