MEDICARE: SD HOMECARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1740022581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SD HOMECARE SERVICES

Provider Business Mailing Address
First Line	:	16136 PASEO DEL SUR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92127-6155
Country	:	US
Telephone Number	:	858-899-0023
Fax Number	:

Provider Business Practice Location Address
First Line	:	10085 CARROLL CANYON RD STE 260
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92131-1138
Country	:	US
Telephone Number	:	858-707-7599
Fax Number	:	858-703-1078

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GREG ENRIQUE
Credential	:
Telephone Number	:	858-707-7599

Provider Enumeration Date	:	06/12/2024
Last Update Date	:	06/12/2024

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1598354128 — DR. TARA JEAN PETERSON PSYD
Practice Location Address:

10085 CARROLL CANYON RD
SAN DIEGO, CA
92131-1138

Practice Phone: 858-208-3463
Practice Fax:

1346791936 — AGNES BARAD RPH
Practice Location Address:

13054 POLVERA AVE
SAN DIEGO, CA
92128-1138

Practice Phone: 858-673-9256
Practice Fax:

1538669163 — SGBA DIVERSIFIED INC
Practice Location Address:

5735 KEARNY VILLA RD STE 101
SAN DIEGO, CA
92123-1138

Practice Phone: 619-644-2170
Practice Fax: 619-644-2174

1578165734 — RIDER MOBILITY INC.
Practice Location Address:

5735 KEARNY VILLA RD STE 111
SAN DIEGO, CA
92123-1138

Practice Phone: 858-598-5505
Practice Fax: 858-598-5508

1184449175 — GENEVIEVE BLISS IBCLC, BSN
Practice Location Address:

3045 FIR ST APT B
SAN DIEGO, CA
92102-1138

Practice Phone: 916-276-8707
Practice Fax:

Directions to “SD HOMECARE SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.