San Diego Medical Staffing & Home Healthcare Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

BL122084 Issued in CA

Legal business name

SAN DIEGO MEDICAL STAFFING & HOME HEALTHCARE SERVICES, LLC

Practice address

3753 Mission Ave
Suite 102
Oceanside, CA 92058-1471

Phone

(760) 529-5871

Fax

(760) 994-1263

NPI assigned

Jan 14, 2013

Last updated

Jan 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Salvador Casas Lacaba Jr.

Title

President/General Manager

Phone

(760) 889-1301

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1194062976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1822",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920181822",
            "telephone_number": "760-889-1301",
            "fax_number": "760-994-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3753 MISSION AVE",
            "address_2": "SUITE 102",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581471",
            "telephone_number": "760-529-5871",
            "fax_number": "760-994-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO MEDICAL STAFFING & HOME HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "LACABA",
        "authorized_official_first_name": "JOHN SALVADOR",
        "authorized_official_middle_name": "CASAS",
        "authorized_official_title_or_position": "PRESIDENT/GENERAL MANAGER",
        "authorized_official_telephone_number": "760-889-1301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "BL122084",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "BL122084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Oceanside, CA
• Providers in Oceanside, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.