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INTERIM HEALTHCARE SAN DIEGO LLC NPI 1891737078


NPI Information

NPI: 1891737078
Provider Name: INTERIM HEALTHCARE SAN DIEGO LLC

Doing Business As: INTERIM HEALTHCARE SAN DIEGO HOME HEALTH

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
5625 RUFFIN RD
SUITE 225
SAN DIEGO, CA
ZIP 92123
Phone: (858) 576-9501
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INTERIM HEALTHCARE SAN DIEGO LLC is a home health in San Diego, CA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. INTERIM HEALTHCARE SAN DIEGO LLC NPI is 1891737078. The provider is registered as an organization entity type.
The provider Is Doing Business As Interim Healthcare San Diego Home Health.

The provider's business location address is:

5625 RUFFIN RD
SUITE 225
SAN DIEGO, CA
ZIP 92123-395
Phone: (858) 576-9501
Fax: (858) 576-1581

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

The enumeration date for this NPI number is 6/12/2006 and was last updated on 10/17/2023.


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
1251E00000XHome Health080000335CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HHA07807FMEDICAIDCALIFORNIA

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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