Organization Active NPI

Interim Healthcare San Diego LLC

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1891737078
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
080000335 Issued in CA
Legal business name
INTERIM HEALTHCARE SAN DIEGO LLC
Practice address
5625 Ruffin Rd
Suite 225
San Diego, CA 92123-1395
Phone
(858) 576-9501
Fax
(858) 576-1581
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Patricia McGillan
Title
General Counsel Chief Compliance of
Phone
(301) 956-5087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 080000335 CA Primary

Addresses

Primary practice location

5625 Ruffin Rd
Suite 225
San Diego, CA 92123-1395

Mailing address

1551 Sawgrass Corporate Pkwy Ste 230
Sunrise, FL 33323-2832
Phone (800) 338-7786

Other identifiers 1

IdentifierTypeStateIssuer
HHA07807FMedicaidCA

Other names 1

  • Interim Healthcare San Diego Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

425 W 5th Ave
Ste 101
Escondido, CA 92025
Phone (760) 258-4780

5625 Ruffin Rd
Ste 225
San Diego, CA 92123
Phone (858) 576-9501

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1891737078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 SAWGRASS CORPORATE PKWY STE 230",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232832",
            "telephone_number": "800-338-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 RUFFIN RD",
            "address_2": "SUITE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231395",
            "telephone_number": "858-576-9501",
            "fax_number": "858-576-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE SAN DIEGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "MCGILLAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "GENERAL COUNSEL CHIEF COMPLIANCE OF",
        "authorized_official_telephone_number": "301-956-5087"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "080000335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07807F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare San Diego Home Health",
            "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 Oct 17, 2023; 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.