Active NPI
Interim Healthcare San Diego LLC
- Home Health Agency
- San Diego, CA
National Provider Identifier
1891737078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 080000335
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA07807F | Medicaid | CA |
Other names 1
- Interim Healthcare San Diego Home Health
National Provider Directory
National Provider DirectoryLocations
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
- Intellichoice Medical, Apc
- Interact Speech-Language Pathology Inc.
- Interactive Medical Systems, Inc.
- Katherine Interiano
- Interim Healthcare San Diego LLC
- Internal Medi Cine Associates Medical Group of San Diego, Inc
- Internal Medicine and Pediatrics of San Diego
- International Care LLC
- International Healthcare Strategies
- International Medevac Services, Inc.
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.