Provider Demographics
NPI:1720523921
Name:SEA COAST HOME HEALTH CARE INC
Entity type:Organization
Organization Name:SEA COAST HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ELMER
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-452-9200
Mailing Address - Street 1:8380 MIRAMAR MALL
Mailing Address - Street 2:STE 107
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2548
Mailing Address - Country:US
Mailing Address - Phone:858-452-9200
Mailing Address - Fax:858-452-7300
Practice Address - Street 1:8380 MIRAMAR MALL
Practice Address - Street 2:STE 107
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2548
Practice Address - Country:US
Practice Address - Phone:858-452-9200
Practice Address - Fax:858-452-7300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-23
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health