MEDICARE: INTERIM HEALTHCARE SAN DIEGO LLC

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	251E00000X	Home Health Agency	080000395	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093750747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERIM HEALTHCARE SAN DIEGO LLC

Provider Business Mailing Address
First Line	:	425 W 5TH AVE
Second Line	:	SUITE 101
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-4843
Country	:	US
Telephone Number	:	760-432-9811
Fax Number	:	760-739-1366

Provider Business Practice Location Address
First Line	:	425 W 5TH AVE
Second Line	:	SUITE 101
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-4843
Country	:	US
Telephone Number	:	760-432-9811
Fax Number	:	760-739-1366

Authorized Official
Title or Position	:	GENERAL COUNSEL CHIEF COMPLIANCE OF
Name	:	PATRICIA MARY MCGILLAN
Credential	:
Telephone Number	:	301-956-5087

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	10/17/2023

Similar Medicare Providers

1821374513 — RANIA JUBRAN LMFT
Practice Location Address:

425 W 5TH AVE
ESCONDIDO, CA
92025-4843

Practice Phone: 760-489-4126
Practice Fax:

1205781341 — VISTA HILL FOUNDATION
Practice Location Address:

425 W 5TH AVE STE 101
ESCONDIDO, CA
92025-4843

Practice Phone: 760-258-4780
Practice Fax: 760-280-8335

1407875404 — INTEGRITY HEALTHCARE SOLUTIONS, INC.
Practice Location Address:

425 W 5TH AVE , SUITE 101
ESCONDIDO, CA
92025-4843

Practice Phone: 760-432-9811
Practice Fax: 760-739-1366

1396982831 — INTEGRITY HEALTHCARE SOLUTIONS, INC.
Practice Location Address:

425 W 5TH AVE , SUITE 101
ESCONDIDO, CA
92025-4843

Practice Phone: 760-432-9811
Practice Fax: 760-739-1366

1831086107 — VISTA HILL FOUNDATION
Practice Location Address:

425 W 5TH AVE STE 101
ESCONDIDO, CA
92025-4843

Practice Phone: 760-280-5020
Practice Fax: 760-392-7880

1891685343 — JANETTE ROSE ETCHINGS
Practice Location Address:

255 N ELM ST STE 203
ESCONDIDO, CA
92025-3431

Practice Phone: 619-613-7880
Practice Fax:

Directions to “INTERIM HEALTHCARE SAN DIEGO LLC ” 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.