MEDICARE: QUALICARE (FAMILY HOMECARE) - NORTH SAN DIEGO COUNTY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	372600000X	Adult Companion
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1912542937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALICARE (FAMILY HOMECARE) - NORTH SAN DIEGO COUNTY, INC.

Provider Business Mailing Address
First Line	:	2103 S EL CAMINO REAL STE 205
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6281
Country	:	US
Telephone Number	:	760-936-4000
Fax Number	:	760-936-4044

Provider Business Practice Location Address
First Line	:	2103 S EL CAMINO REAL STE 204
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6281
Country	:	US
Telephone Number	:	760-936-4000
Fax Number	:	760-936-4044

Authorized Official
Title or Position	:	PRESIDENT / OWNER
Name	:	MR. STEVE KIDWELL
Credential	:
Telephone Number	:	760-213-1454

Provider Enumeration Date	:	11/13/2019
Last Update Date	:	04/03/2025

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