NPIMap

Organization Active NPI

St. Joseph Health Personal Care Services

  • In Home Supportive Care Agency
  • Anaheim, CA
National Provider Identifier
1033654736
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
304700105 Issued in CA
Legal business name
ST. JOSEPH HEALTH PERSONAL CARE SERVICES
Doing business as
Providence Home Care
Practice address
200 W Center Street Promenade
Suite 200
Anaheim, CA 92805-3960
Phone
(714) 712-7100
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Denise Leger
Title
Operations Manager
Phone
(714) 712-7094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 304700105 CA Primary

Addresses

Primary practice location

200 W Center Street Promenade
Suite 200
Anaheim, CA 92805-3960

Mailing address

200 W Center Street Promenade Ste 200a
Anaheim, CA 92805-3960
Phone (714) 712-7100

Other names 1

  • Providence Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Providence Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1033654736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CENTER STREET PROMENADE STE 200A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053960",
            "telephone_number": "714-712-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CENTER STREET PROMENADE",
            "address_2": "SUITE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053960",
            "telephone_number": "714-712-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HEALTH PERSONAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "LEGER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "714-712-7094"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "304700105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.