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INTERIM HEALTHCARE SAN DIEGO LLC NPI 1841592979


NPI Information

NPI: 1841592979
Provider Name: INTERIM HEALTHCARE SAN DIEGO LLC

Doing Business As: INTERIM HEALTHCARE SAN DIEGO HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2022097

Address:
5625 RUFFIN RD
SUITE 110
SAN DIEGO, CA
ZIP 92123
Phone: (954) 858-2871
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INTERIM HEALTHCARE SAN DIEGO LLC is a hospice care community based in San Diego, CA. INTERIM HEALTHCARE SAN DIEGO LLC NPI is 1841592979. The provider is registered as an organization entity type.
The provider Is Doing Business As Interim Healthcare San Diego Hospice.

The provider's business location address is:

5625 RUFFIN RD
SUITE 110
SAN DIEGO, CA
ZIP 92123-392
Phone: (954) 858-2871
Fax: (858) 737-7481

The provider's authorized official is Patricia Mary Mcgillan .
The authorized official title is General Counsel And Chief Complianc and has the following contact phone number (301) 956-5087.

The CLIA number assigned to this NPI record is 05D2022097 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2010 and was last updated on 11/28/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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: 4/28/2024

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