Active NPI
Silver Creek Home Care Inc.
- Adult Care Home Facility
- San Diego, CA
National Provider Identifier
1154180222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.