Healthcare Provider Details

I. General information

NPI: 1326830589
Provider Name (Legal Business Name): RSO HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 11/09/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 MIRAMAR RD # 200-228A
SAN DIEGO CA
92126-4387
US

IV. Provider business mailing address

8400 MIRAMAR RD # 200-228A
SAN DIEGO CA
92126-4387
US

V. Phone/Fax

Practice location:
  • Phone: 619-292-8001
  • Fax:
Mailing address:
  • Phone: 619-292-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LAP QUYEN ON
Title or Position: OWNER
Credential:
Phone: 202-725-2369