Active NPI
Special Care Home Health Services, Inc.
- Home Health Agency
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2026
- 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
- Stephanie Bailey
- Title
- Director of Special Projects
- Phone
- (661) 373-5943
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- -
- Certified
- Oct 13, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2331641 | Special Care Home Health Services, Inc | Certificate of waiver | Oct 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin R Werbner | W-2 Managing Employee | Apr 1, 2020 | 100% |
| Don William Maniccia | Corporate Officer | Jan 23, 2024 | 100% |
| FPPS-Ca, LLC | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.