Memorialcare Home Health - LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

060000218 Issued in CA

Legal business name

MEMORIALCARE HOME HEALTH - LLC

Practice address

23521 Paseo de Valencia Ste 100
Laguna Hills, CA 92653-3126

Phone

(949) 452-3626

Fax

(949) 452-3460

NPI assigned

Jul 1, 2013

Last updated

Jul 1, 2013By 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

Mr. Adolfo Oscar Chanez, CPA

Title

Cfo

Phone

(949) 452-3644

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Saddleback Memorial Medical Center

  dba MemorialCare Hospice and Palliative Services

  • Community Based Hospice Care Agency
  • Laguna Hills, CA
  • NPI 1922048511

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1033559356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533126",
            "telephone_number": "949-452-3626",
            "fax_number": "949-452-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533126",
            "telephone_number": "949-452-3626",
            "fax_number": "949-452-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIALCARE HOME HEALTH - LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "CHANEZ",
        "authorized_official_first_name": "ADOLFO",
        "authorized_official_middle_name": "OSCAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-452-3644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "060000218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryland E Melford III, MD
• Ghada Melik
• Memorial Radiation Oncology Medical
• Memorial Radiation Oncology Medical Group
• Memorialcare Health System
• Memorialcare Surgical Center at Saddleback LLC
• Lisamarie Menard, AMFT
• Susan A Mendelsohn, MD
• Elloitt Mercer, M.D.
• Andrew Merritt, M.D.

• Home Health Agency in Laguna Hills, CA
• Providers in Laguna Hills, 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 Jul 1, 2013; 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.