San Diego Homecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SAN DIEGO HOMECARE, LLC

Doing business as

Salus Homecare

Practice address

2555 Camino del Rio S
Suite 202
San Diego, CA 92108-3704

Phone

(888) 725-8742

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Mark Kay Mortensen

Title

Manager

Phone

(888) 725-8742

Specialties & licenses 2

Addresses

Other names 1

• Salus Homecare Doing business as

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1558535880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 ROOSEVELT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203621",
            "telephone_number": "888-725-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 CAMINO DEL RIO S",
            "address_2": "SUITE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083704",
            "telephone_number": "888-725-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-725-8742",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "200606310211",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salus Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salus Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Diego Heart & Medical Clinic Inc
• San Diego Heart Arrhythmia Center, AMC
• San Diego Heart Rhythm Center a Medical Corporation
• San Diego Herbal Medicine and Acupuncture LLC
• San Diego Home Caregivers, LLC
• San Diego Homeopathy
• San Diego Hospice
• San Diego Hospice
• San Diego Hospice & Palliative Care
• San Diego Hospice & Palliative Care Corporation

• In Home Supportive Care Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.