Interim Healthcare San Diego LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

INTERIM HEALTHCARE SAN DIEGO LLC

Doing business as

Interim Healthcare San Diego Hospice

Practice address

5625 Ruffin Rd
Suite 110
San Diego, CA 92123-6392

Phone

(954) 858-2871

Fax

(858) 737-7481

NPI assigned

Nov 22, 2010

Organization subpart

No

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

Authorized official

Name

Patricia Mary McGillan

Title

General Counsel and Chief Complianc

Phone

(301) 956-5087

Specialties & licenses 1

Addresses

Other names 1

• Interim Healthcare San Diego Hospice Doing business as

Listed as

Interim Healthcare San Diego HospiceCCN 551612

Ownership

For-Profit

Certified

Sep 7, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1841592979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 SAWGRS CORP PKWY STE 230",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232832",
            "telephone_number": "301-956-5087",
            "fax_number": "858-737-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 RUFFIN RD",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921236392",
            "telephone_number": "954-858-2871",
            "fax_number": "858-737-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE SAN DIEGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "MCGILLAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "GENERAL COUNSEL AND CHIEF COMPLIANC",
        "authorized_official_telephone_number": "301-956-5087"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare San Diego Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.