TELECARE CORPORATION NPI 1114447141

NPI Information

  • NPI: 1114447141
  • Provider Name: TELECARE CORPORATION
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: TELECARE AGEWISE ICM
  • Address: 6160 MISSION GORGE RD STE 108
    SAN DIEGO, CA
    ZIP 92120
  • Phone: (619) 481-3850

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NPI Details

TELECARE CORPORATION is a mental health (including community mental health center) clinic center in San Diego, CA. TELECARE CORPORATION NPI is 1114447141. The provider is registered as an organization entity type.
The provider Is Doing Business As Telecare Agewise Icm.

The provider's business location address is:

6160 MISSION GORGE RD STE 108
SAN DIEGO, CA
ZIP 92120-425
Phone: (619) 481-3850
Fax: (619) 481-3851

The provider's authorized official is Leslie Davis .
The authorized official title is Svp, Cfo and has the following contact phone number (510) 337-7950.

The enumeration date for this NPI number is 6/21/2017 and was last updated on 9/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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