MEDICARE: AMELIA VENTURES INC

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	:	1306705603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMELIA VENTURES INC

Provider Business Mailing Address
First Line	:	3919 30TH ST STE 351
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92104-3004
Country	:	US
Telephone Number	:	619-943-4978
Fax Number	:	619-873-1681

Provider Business Practice Location Address
First Line	:	3919 30TH ST STE 351
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92104-3004
Country	:	US
Telephone Number	:	619-943-4978
Fax Number	:	619-873-1681

Authorized Official
Title or Position	:	OWNER
Name	:	GINA SENIOR CARE EAST SAN CAMARDO
Credential	:
Telephone Number	:	619-943-4978

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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