Organization Active NPI

A1 Peace Homecare Inc

  • Skilled Nursing Facility
  • La Puente, CA
National Provider Identifier
1003704719
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
A1 PEACE HOMECARE INC
Practice address
16702 Wegman Dr
La Puente, CA 91744-4855
Phone
(310) 408-1933
NPI assigned
Jun 24, 2025
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mi Jung Bak
Title
Director of Nurse
Phone
(213) 863-0546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

16702 Wegman Dr
La Puente, CA 91744-4855

Mailing address

16702 Wegman Dr
La Puente, CA 91744-4855
Phone (310) 408-1933

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1003704719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16702 WEGMAN DR",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917444855",
            "telephone_number": "310-408-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16702 WEGMAN DR",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917444855",
            "telephone_number": "310-408-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 PEACE HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "MI JUNG",
        "authorized_official_title_or_position": "DIRECTOR OF NURSE",
        "authorized_official_telephone_number": "213-863-0546"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.