Provider Demographics
NPI:1366091043
Name:SAN DIEGO COMPASSIONATE CAREGIVERS
Entity type:Organization
Organization Name:SAN DIEGO COMPASSIONATE CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:ALEXANDRA
Authorized Official - Last Name:BIERNACKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-707-2900
Mailing Address - Street 1:2173 SALK AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-7383
Mailing Address - Country:US
Mailing Address - Phone:760-707-2900
Mailing Address - Fax:
Practice Address - Street 1:2173 SALK AVE STE 250
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-7383
Practice Address - Country:US
Practice Address - Phone:760-707-2900
Practice Address - Fax:760-650-7322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care