Healthcare Provider Details

I. General information

NPI: 1003351610
Provider Name (Legal Business Name): CARE CHOICE HEALTH SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 S SANTA FE AVE
VISTA CA
92083-7228
US

IV. Provider business mailing address

1151 S SANTA FE AVE
VISTA CA
92083-7228
US

V. Phone/Fax

Practice location:
  • Phone: 760-405-1505
  • Fax: 760-798-4519
Mailing address:
  • Phone: 760-405-1505
  • Fax: 760-798-4519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TARA IZZO
Title or Position: CEO
Credential:
Phone: 760-798-4508