# SAN DIEGO HOMECARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Salus Homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558535880
- **Authorized official:** MR. MARK KAY MORTENSEN (MANAGER)
- **Authorized official phone:** (888) 725-8742

## Contact information

- **Practice address:** 2555 CAMINO DEL RIO S, SUITE 202, SAN DIEGO, CA 92108-3704
- **Practice address phone:** (888) 725-8742
- **Mailing address:** 630 ROOSEVELT, IRVINE, CA 92620-3621
- **Mailing address phone:** (888) 725-8742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 200606310211 | CA | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 09/18/2023