Organization Active NPI

Procare Professional Services Inc.

Doing business as ProCare 2000 Home Healthcare

  • Home Health Agency
  • Signal Hill, CA
National Provider Identifier
1023288859
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980000827 Issued in CA
Legal business name
PROCARE PROFESSIONAL SERVICES INC.
Doing business as
ProCare 2000 Home Healthcare
Practice address
1903 Redondo Ave
Signal Hill, CA 90755-1226
Phone
(562) 494-6500
Fax
(562) 494-8834
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Mr. Stephen B Liss
Title
Vice President
Phone
(562) 494-6500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 980000827 CA
Home Health Agency 251E00000X 980000827 CA Primary
Home Infusion Agency 251F00000X 980000827 CA
Nursing Care Agency 251J00000X 980000827 CA

Addresses

Primary practice location

1903 Redondo Ave
Signal Hill, CA 90755-1226

Mailing address

1903 Redondo Ave
Signal Hill, CA 90755-1226
Phone (562) 494-6500

Other names 1

  • ProCare 2000 Home Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

1903 Redondo Ave
Signal Hill, CA 90755
Phone (562) 494-6500

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1023288859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 REDONDO AVE",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551226",
            "telephone_number": "562-494-6500",
            "fax_number": "562-494-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 REDONDO AVE",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551226",
            "telephone_number": "562-494-6500",
            "fax_number": "562-494-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE PROFESSIONAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "LISS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "562-494-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "980000827",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000827",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "CA",
            "license": "980000827",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "980000827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProCare 2000 Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Signal Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.