Provider Demographics
NPI:1770317810
Name:QUALICARE (FAMILY HOMECARE) - NORTH SAN DIEGO COUNTY, INC.
Entity type:Organization
Organization Name:QUALICARE (FAMILY HOMECARE) - NORTH SAN DIEGO COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-213-1454
Mailing Address - Street 1:2103 S EL CAMINO REAL STE 205
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6281
Mailing Address - Country:US
Mailing Address - Phone:760-213-1454
Mailing Address - Fax:
Practice Address - Street 1:2103 S EL CAMINO REAL STE 205
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6281
Practice Address - Country:US
Practice Address - Phone:760-213-1454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-30
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health