San Diego Family Circle Adult Day Health Care

LBN: Spectrum Adult Day Health Services Inc
San Diego Family Circle Adult Day Health Care is an health care organization with primary practice located at 4428 Convoy St Ste 288 , San Diego CA 92111-3761. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Spectrum Adult Day Health Services Inc can be contacted via phone (802) 430-7543, or through Polsky, Gary via phone (858) 952-8531.

Contact Information

Primary practice address
4428 Convoy St Ste 288 San Diego CA 92111-3761
Phone: (802) 430-7543
Fax: (856) 724-3302
Website:
Map and Directions
Authorized official contact:
Name: Polsky, Gary
Phone: (858) 952-8531

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1396201828
LBN Legal business name Spectrum Adult Day Health Services Inc
DBA Doing business as San Diego Family Circle Adult Day Health Care
Authorized official Polsky, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2019
Last updated Nov 1st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396201828 NPPES
California MEDICAID 1396201828

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