A-1 Domestic Professional Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

0408-12631F104A Issued in CA

Legal business name

A-1 DOMESTIC PROFESSIONAL SERVICES

Practice address

12631 Imperial Hwy
Suite F-104
Santa Fe Springs, CA 90670-4710

Phone

(562) 929-8400

Fax

(888) 813-3646

NPI assigned

Sep 29, 2016

Last updated

Sep 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Suzette Dominguez Dagdagan

Title

President

Phone

(562) 929-8400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1013466101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 IMPERIAL HWY",
            "address_2": "SUITE F-104",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704710",
            "telephone_number": "562-929-8400",
            "fax_number": "888-813-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 IMPERIAL HWY",
            "address_2": "SUITE F-104",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704710",
            "telephone_number": "562-929-8400",
            "fax_number": "888-813-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-1 DOMESTIC PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "DAGDAGAN",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_middle_name": "DOMINGUEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-929-8400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "0408-12631F104A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.