Active NPI
Sandycare Inc
- Home Health Agency
- San Diego, CA
National Provider Identifier
1841069192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.