Healthcare Provider Details

I. General information

NPI: 1427982487
Provider Name (Legal Business Name): EXPERIENCED IN HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 CIVIC CENTER DR STE 5
VISTA CA
92084-6170
US

IV. Provider business mailing address

217 CIVIC CENTER DR STE 5
VISTA CA
92084-6170
US

V. Phone/Fax

Practice location:
  • Phone: 760-941-2273
  • Fax: 760-724-4390
Mailing address:
  • Phone: 760-941-2273
  • Fax: 760-724-4390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TARA ARLENE SANDERS
Title or Position: DIRECTOR
Credential: LVN
Phone: 760-941-2273