NPIMap

Organization Active NPI

San Diego Home Health Care Services, Inc.

Doing business as San Diego Home Health Care

  • Home Health Agency
  • Encinitas, CA
National Provider Identifier
1750531372
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550001041 Issued in CA
Legal business name
SAN DIEGO HOME HEALTH CARE SERVICES, INC.
Doing business as
San Diego Home Health Care
Practice address
511 Encinitas Boulevard
Suite 100
Encinitas, CA 92024-3778
Phone
(760) 436-7344
Fax
(760) 436-4346
NPI assigned
Sep 19, 2008
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Mr. John Vincent O'Sullivan Jr., PT
Title
Owner, Sec./Treas.
Phone
(209) 524-8700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X 550001041 CA Primary

Addresses

Primary practice location

511 Encinitas Boulevard
Suite 100
Encinitas, CA 92024-3778

Mailing address

3340 Tully Rd
Suite C-8a
Modesto, CA 95350-0838
Phone (209) 524-8700

Other names 1

  • San Diego Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081007000098 CA Part A Provider - Home Health Agency 2860560638 Practice locations: Carlsbad, CA; Murrieta, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750531372. Details of each certification follow.

Home health agency certification: CCN 059111

Legal name
SAN DIEGO HOME HEALTH CARE SERVICES, INC
Doing business as
SAN DIEGO HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 26, 2010
Last certification
Oct 17, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 11, 2008 in CA
Enrollment address
5050 Avenida Encinas
Ste 200
Carlsbad, CA 92008-4383

Care Compare: Home health agency

Medicare Care Compare
Listed as
San Diego Home Health Care Services IncCCN 059111 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Feb 26, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D1097953San Diego Home Health Care Services,Inc5050 Avenida Encinas Ste 200, Carlsbad, CA 92008Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5050 Avenida Encinas
Ste 200
Carlsbad, CA 92008
Phone (760) 439-1963

511 Encinitas Blvd
Ste 100
Encinitas, CA 92024
Phone (760) 436-7344

41690 Ivy St
Ste C10
Murrieta, CA 92562
Phone (951) 200-7990

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Centre Covenant Purchaser (Q), LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 4, 2015 11.7%
Christine M Sims Individual 5% Or Greater Indirect Ownership InterestExecutive VP-Finance Feb 4, 2015 11.3%
Corporate OfficerExecutive VP-Finance Feb 4, 2015
Centre Capital Investors V, LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Feb 4, 2015 11.7%
Robert a Levin Individual 5% Or Greater Indirect Ownership InterestChief Executive Officer Feb 4, 2015 13.1%
Corporate OfficerChief Executive Officer Feb 4, 2015 100%
Centre Covenant Purchaser (B), LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 4, 2015 24.4%
Covenant Holdco, LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 4, 2015 100%
Covenant Care, LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 4, 2015 100%
Stockwell Fund II LP Organization, Chicago, IL For-profit 5% Or Greater Indirect Ownership Interest Feb 4, 2015 11.7%
Covenant Subco, LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 4, 2015 100%
Rehabfocus Home Health, Inc Organization, Aliso Viejo, CA Corporation, For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2013 100%
Mary a Evans Individual 5% Or Greater Indirect Ownership InterestExecutive Vice President- Operat Feb 4, 2015 11.3%
Corporate OfficerExecutive Vice President- Operat Feb 4, 2015
Centre V Secondary Fund, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Jul 17, 2008 24.4%
Covenant Care California, LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 4, 2015 100%
Dava a Ashley Individual Corporate OfficerPresident Feb 4, 2015 100%
Corporate DirectorPresident Feb 4, 2015 100%
W-2 Managing EmployeePresident Feb 4, 2015 100%
Brett Frankenberg Individual Operational/Managerial ControlRegional Director of Operation Mar 4, 2022 100%
Carol a Sparks Individual W-2 Managing EmployeeDirector of Reimbursement Feb 4, 2015
Andrew F Torok Individual 5% Or Greater Indirect Ownership InterestChief Legal Officer (General Cou Feb 4, 2015 11.3%
Corporate OfficerChief Legal Officer (General Cou Feb 4, 2015 100%
State Treasurer of Mich Custodian of Public School Empl Rtmnt Systems Organization, East Lansing, MI 5% Or Greater Indirect Ownership Interest Feb 4, 2015 11.5%
Elevate Home Health, LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 4, 2015 100%
Kevin P Carney Individual Corporate OfficerCfo, Assistant Secretary, Contra Feb 4, 2015
Corporate DirectorCfo, Assistant Secretary, Contra Feb 4, 2015 100%
Centre Covenant Purchaser (S), LLC Organization, Los Angeles, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 4, 2015 11.7%
HCS Holdco LLC Organization, Aliso Viejo, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 4, 2015 100%
Focus Healthcare Holdings, Inc. Organization, Aliso Viejo, CA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 9, 2013 100%
Midcap Funding IV Trust Organization, Bethesda, MD LLC, For-profit 5% Or Greater Security Interest Feb 4, 2015 40%

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

Facilities with the same owner 20

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

  • Coastal Home Care Services, Inc.

    dba Choice Home Health Care

    • Home Health Agency
    • Monterey, CA
    • NPI 1558392209

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Los Altos Sub-acute & Rehabilitation Center

    • Skilled Nursing Facility
    • Los Altos, CA
    • NPI 1043345812

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Royal Care Skilled Nursing Center

    • Skilled Nursing Facility
    • Long Beach, CA
    • NPI 1053453902

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Buena Vista Care Center

    • Skilled Nursing Facility
    • Santa Barbara, CA
    • NPI 1205977311

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Huntington Park Nursing Center

    • Skilled Nursing Facility
    • Huntington Park, CA
    • NPI 1265573778

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Pacific Gardens Nursing & Rehabilitation Center

    • Skilled Nursing Facility
    • Fresno, CA
    • NPI 1528100013

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Valle Vista Convalescent Hospital

    • Skilled Nursing Facility
    • Escondido, CA
    • NPI 1659369262

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Grant Cuesta Sub-Acute and Rehabilitation Center

    • Skilled Nursing Facility
    • Mountain View, CA
    • NPI 1750378519

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Palo Alto Nursing Center

    • Skilled Nursing Facility
    • Palo Alto, CA
    • NPI 1780719278

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba St Edna Subacute & Rehabilitation Center

    • Skilled Nursing Facility
    • Santa Ana, CA
    • NPI 1831187848

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Gilroy Healthcare & Rehabilitation Center

    • Skilled Nursing Facility
    • Gilroy, CA
    • NPI 1831231877

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
  • Covenant Care California, LLC

    dba Shoreline Care Center

    • Skilled Nursing Facility
    • Oxnard, CA
    • NPI 1891783577

    Centre Capital Investors V, LP, Centre Covenant Purchaser (B), LLC, Centre Covenant Purchaser (Q), LLC, Centre Covenant Purchaser (S), LLC, Centre V Secondary Fund, L.P., Covenant Care California, LLC, Covenant Care, LLC, Covenant Holdco, LLC, Cov

    CMS ownership
View all 20

Practitioners & affiliated clinicians

Affiliated clinicians 20

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1750531372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 TULLY RD",
            "address_2": "SUITE C-8A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500838",
            "telephone_number": "209-524-8700",
            "fax_number": "209-524-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ENCINITAS BOULEVARD",
            "address_2": "SUITE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243778",
            "telephone_number": "760-436-7344",
            "fax_number": "760-436-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "O'SULLIVAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER, SEC./TREAS.",
        "authorized_official_telephone_number": "209-524-8700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.