Organization Active NPI

Oceanside Healthcare, Inc.

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1265837405
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 15, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2020 Change of OwnershipThis provider was the seller Seaport Home HealthCCN 059303, CA, NPI 1891310975

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

Verify at the official NPI Registry.