Organization Active NPI

Silver Creek Home Care Inc.

  • Adult Care Home Facility
  • San Diego, CA
National Provider Identifier
1154180222
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SILVER CREEK HOME CARE INC.
Practice address
6530 Boon Lake Ave
San Diego, CA 92119-2614
Phone
(619) 464-3479
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juliet Mendoza
Title
Admministrator
Phone
(619) 228-3331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

6530 Boon Lake Ave
San Diego, CA 92119-2614

Mailing address

6530 Boon Lake Ave
San Diego, CA 92119-2614
Phone (619) 464-3479

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1154180222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 BOON LAKE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192614",
            "telephone_number": "619-464-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 BOON LAKE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192614",
            "telephone_number": "619-464-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "ADMMINISTRATOR",
        "authorized_official_telephone_number": "619-228-3331"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.