Organization Active NPI

Camino del Rio Healthcare LLC

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1801698576
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAMINO DEL RIO HEALTHCARE LLC
Practice address
2535 Camino del Rio S Ste 120
San Diego, CA 92108-3764
Phone
(619) 220-6980
NPI assigned
Mar 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Amber Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2535 Camino del Rio S Ste 120
San Diego, CA 92108-3764

Mailing address

2535 Camino del Rio S Ste 120
San Diego, CA 92108-3764
Phone (619) 220-6980

Other names 1

  • GrandCare Home Health South Doing business as

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
05D1012730Camino del Rio Healthcare LLC Dba2535 Camino del Rio South, Ste 120, San Diego, CA 92108Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory

Locations

2535 Camino del Rio S
Ste 120
San Diego, CA 92108
Phone (619) 220-6980

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1801698576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 CAMINO DEL RIO S STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083764",
            "telephone_number": "619-220-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 CAMINO DEL RIO S STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083764",
            "telephone_number": "619-220-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMINO DEL RIO HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GrandCare Home Health South",
            "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 Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.