Active NPI
Intensive Home Health Care Inc.
- Home Health Agency
- City of Industry, CA
National Provider Identifier
1023019353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001468
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08213F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Anaheim, CA
- NPI 1508897489
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.