Organization Active NPI

Sun Angel Health, Inc.

Doing business as ComForcare Home Care San Diego La Jolla

  • In Home Supportive Care Agency
  • San Diego, CA
National Provider Identifier
1386014314
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUN ANGEL HEALTH, INC.
Doing business as
ComForcare Home Care San Diego La Jolla
Practice address
4901 Morena Blvd
Suite 125
San Diego, CA 92117-3423
Phone
(858) 270-1700
Fax
(858) 270-1717
NPI assigned
Oct 2, 2015
Last updated
Oct 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Mr. Ross Shaffer
Title
President
Phone
(760) 846-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X CA Primary

Addresses

Primary practice location

4901 Morena Blvd
Suite 125
San Diego, CA 92117-3423

Mailing address

4901 Morena Blvd
Suite 125
San Diego, CA 92117-3423
Phone (858) 270-1700

Other names 1

  • ComForcare Home Care San Diego La Jolla Doing business as

National Provider Directory

National Provider Directory

Locations

4901 Morena Blvd
Ste 125
San Diego, CA 92117
Phone (858) 270-1700

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1386014314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 MORENA BLVD",
            "address_2": "SUITE 125",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173423",
            "telephone_number": "858-270-1700",
            "fax_number": "858-270-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 MORENA BLVD",
            "address_2": "SUITE 125",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173423",
            "telephone_number": "858-270-1700",
            "fax_number": "858-270-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN ANGEL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-846-8008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Home Care San Diego La Jolla",
            "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 Oct 2, 2015; 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.