The Home Care Group, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001322 Issued in CA

Legal business name

THE HOME CARE GROUP, INC

Practice address

20620 Leapwood Ave Ste L
Carson, CA 90746

Phone

(310) 516-9255

Fax

(310) 516-8299

NPI assigned

Mar 9, 2007

Last updated

May 30, 2018By 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

Mrs. Anjela Agadjanova

Title

Administrator

Phone

(310) 516-9255

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Home Care Group, Inc Former legal business name

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1033241773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20620 LEAPWOOD AVE STE L",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463668",
            "telephone_number": "310-516-9255",
            "fax_number": "310-516-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20620 LEAPWOOD AVE STE L",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90746",
            "telephone_number": "310-516-9255",
            "fax_number": "310-516-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOME CARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "AGADJANOVA",
        "authorized_official_first_name": "ANJELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-516-9255",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Home Care Group, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Carson, CA
• Providers in Carson, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.