Organization Active NPI

Sandycare Inc

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1841069192
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SANDYCARE INC
Practice address
5440 Morehouse Dr Ste 2700
San Diego, CA 92121-6709
Phone
(858) 422-0770
NPI assigned
Dec 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Kim Maller
Title
Owner
Phone
(858) 422-0772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5440 Morehouse Dr Ste 2700
San Diego, CA 92121-6709

Mailing address

5440 Morehouse Dr Ste 2700
San Diego, CA 92121-6709

National Provider Directory

National Provider Directory

Locations

5440 Morehouse Dr
Ste 2700
San Diego, CA 92121
Phone (858) 422-0770

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1841069192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 MOREHOUSE DR STE 2700",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921216709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 MOREHOUSE DR STE 2700",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921216709",
            "telephone_number": "858-422-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDYCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "MALLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-422-0772"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 4, 2024; 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.