Active NPI
Fortune416Ix, Inc.
- In Home Supportive Care Agency
- Chula Vista, CA
National Provider Identifier
1003682782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FORTUNE416IX, INC.
- Doing business as
- Visiting Angels
- Practice address
- 1231 Third Ave Ste E
Chula Vista, CA 91911-3211 - Phone
- (209) 541-5326
- NPI assigned
- Dec 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aj Peters
- Title
- Director
- Phone
- (209) 541-5326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1231 Third Ave Ste E
Chula Vista, CA 91911-3211
Mailing address
1231 Third Ave Ste E
Chula Vista, CA 91911-3211
Phone (209) 541-5326
Other names 1
- Visiting Angels
National Provider Directory
National Provider DirectoryLocations
1231 Third Ave
Ste E
Chula Vista, CA 91911
Phone (209) 541-5326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701648000000",
"number": "1003682782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 THIRD AVE STE E",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919113211",
"telephone_number": "209-541-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 THIRD AVE STE E",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919113211",
"telephone_number": "209-541-5326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORTUNE416IX, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-03",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "AJ",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "209-541-5326"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Visiting Angels",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.