MEDICARE: SHANAHAN & ASSOCIATES, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1306710462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHANAHAN & ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 87371
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92138-7371
Country	:	US
Telephone Number	:	619-450-4300
Fax Number	:	760-539-7755

Provider Business Practice Location Address
First Line	:	1635 LAKE SAN MARCOS DR STE 201-A
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92078-4661
Country	:	US
Telephone Number	:	619-450-4300
Fax Number	:	760-539-7755

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MISS CHELSEA KENNEDY
Credential	:
Telephone Number	:	619-450-4300

Provider Enumeration Date	:	10/01/2025
Last Update Date	:	10/01/2025

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