Organization Active NPI

Intensive Home Health Care Inc.

  • Home Health Agency
  • City of Industry, CA
National Provider Identifier
1023019353
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001468 Issued in CA
Legal business name
INTENSIVE HOME HEALTH CARE INC.
Practice address
1163 Fairway Dr
Suite 105
City of Industry, CA 91789-2846
Phone
(909) 595-8383
Fax
(909) 595-4450
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Authorized official

Name
Ms. Cherry Thacker
Title
Asst. Admin. / Ceo
Phone
(909) 595-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001468 CA Primary

Addresses

Primary practice location

1163 Fairway Dr
Suite 105
City of Industry, CA 91789-2846

Mailing address

21671 Gateway Center Dr
Suite 104
Diamond Bar, CA 91765
Phone (909) 595-8383

Other identifiers 1

IdentifierTypeStateIssuer
HHA08213FMedicaidCA

National Provider Directory

National Provider Directory

Locations

1163 Fairway Dr
Ste 105
City of Industry, CA 91789
Phone (909) 595-8383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1023019353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21671 GATEWAY CENTER DR",
            "address_2": "SUITE 104",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "91765",
            "telephone_number": "909-595-8383",
            "fax_number": "909-595-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 FAIRWAY DR",
            "address_2": "SUITE 105",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917892846",
            "telephone_number": "909-595-8383",
            "fax_number": "909-595-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "CHERRY",
        "authorized_official_title_or_position": "ASST. ADMIN. / CEO",
        "authorized_official_telephone_number": "909-595-8383",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08213F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.