Active NPI
Oceanside Healthcare, Inc.
- Home Health Agency
- San Diego, CA
National Provider Identifier
1265837405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OCEANSIDE HEALTHCARE, INC.
- Practice address
- 5473 Kearny Villa Rd Ste 100
San Diego, CA 92123 - Phone
- (858) 634-5870
- Fax
- (858) 634-5888
- NPI assigned
- Oct 30, 2014
- 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
- Elliot McMillan
- Title
- Secretary
- Phone
- (208) 401-1359
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5473 Kearny Villa Rd Ste 100
San Diego, CA 92123
Mailing address
5473 Kearny Villa Rd Ste 100
San Diego, CA 92123-1160
Phone (858) 634-5870
Other practice location 1
1810 Gillespie Way
Suite 207
El Cajon, CA 92020-0917
Phone (619) 434-8360
Other names 1
- Seaport Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2020 | Change of Ownership | Seaport Home Health |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565827200000",
"number": "1265837405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5473 KEARNY VILLA RD STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231160",
"telephone_number": "858-634-5870",
"fax_number": "858-634-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5473 KEARNY VILLA RD STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123",
"telephone_number": "858-634-5870",
"fax_number": "858-634-5888"
}
],
"practiceLocations": [
{
"address_1": "1810 Gillespie Way",
"address_2": "Suite 207",
"address_purpose": "LOCATION",
"city": "El Cajon",
"state": "CA",
"postal_code": "920200917",
"country_code": "US",
"telephone_number": "619-434-8360",
"fax_number": "619-312-2637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OCEANSIDE HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-30",
"last_updated": "2019-08-15",
"status": "A",
"authorized_official_last_name": "MCMILLAN",
"authorized_official_first_name": "ELLIOT",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "208-401-1359"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Seaport Home Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Seaport Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.