Organization Active NPI

Special Care Home Health Services, Inc.

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1396210134
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SPECIAL CARE HOME HEALTH SERVICES, INC.
Practice address
3111 Camino del Rio N Ste 400
San Diego, CA 92108-5724
Phone
(760) 444-4019
Fax
(858) 716-8269
NPI assigned
Oct 8, 2018
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Stephanie Bailey
Title
Director of Special Projects
Phone
(661) 373-5943

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3111 Camino del Rio N Ste 400
San Diego, CA 92108-5724

Mailing address

3111 Camino del Rio N Ste 400
San Diego, CA 92108-5724
Phone (760) 444-4019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210722003079 CA Part A Provider - Home Health Agency 4587067905 Practice locations: San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396210134. Details of each certification follow.

Home health agency certification: CCN 753165

Legal name
SPECIAL CARE HOME HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 13, 2021
Last certification
Sep 21, 2021
Organization structure
CorporationProprietary
Incorporated
May 20, 2016 in CA
Enrollment address
591 Camino de la Reina
Ste 810
San Diego, CA 92108-3150

Care Compare: Home health agency

Medicare Care Compare
Listed as
Special Care Home Health Services IncCCN 753165 · All quality measures
Ownership
-
Certified
Oct 13, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2331641Special Care Home Health Services, Inc3111 Camino del Rio N Ste 400, San Diego, CA 92108Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory

Locations

591 Camino de la Reina
Ste 1010A
San Diego, CA 92108

591 Camino de la Reina
Ste 810
San Diego, CA 92108
Phone (858) 519-8002

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin R Werbner Individual W-2 Managing EmployeeAdministrator Apr 1, 2020 100%
Don William Maniccia Individual Corporate OfficerPresident / Secretary Jan 23, 2024 100%
FPPS-Ca, LLC Organization, Austin, TX Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 13, 2024 100%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1396210134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 CAMINO DEL RIO N STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085724",
            "telephone_number": "760-444-4019",
            "fax_number": "858-716-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 CAMINO DEL RIO N STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085724",
            "telephone_number": "760-444-4019",
            "fax_number": "858-716-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL PROJECTS",
        "authorized_official_telephone_number": "661-373-5943"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.