Provider Demographics
NPI:1396210134
Name:SPECIAL CARE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:SPECIAL CARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED USER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-466-1600
Mailing Address - Street 1:591 CAMINO DE LA REINA STE 810
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3150
Mailing Address - Country:US
Mailing Address - Phone:760-444-4019
Mailing Address - Fax:858-716-8269
Practice Address - Street 1:591 CAMINO DE LA REINA STE 810
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3150
Practice Address - Country:US
Practice Address - Phone:760-444-4019
Practice Address - Fax:858-716-8269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care