Madera Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MADERA HOME HEALTH AGENCY, INC.

Practice address

2323 W Lincoln Ave Ste 203C
Anaheim, CA 92801-5100

Phone

(747) 264-4140

Fax

(747) 264-4322

NPI assigned

May 31, 2022

Organization subpart

No

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

Authorized official

Name

Sir Farris

Title

Ceo/Cfo/Secretary

Phone

(747) 264-4140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1033858907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W LINCOLN AVE STE 203C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015100",
            "telephone_number": "747-264-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 W LINCOLN AVE STE 203C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015100",
            "telephone_number": "747-264-4140",
            "fax_number": "747-264-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "SIR",
        "authorized_official_title_or_position": "CEO/CFO/SECRETARY",
        "authorized_official_telephone_number": "747-264-4140"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana N Mackenzie, M.A.E
• Michael Anthony Macri, RCP
• Mark A. Macvay, MD
• Farahnaz Madani, D.M.D
• Kaylee Rae Madden
• Madera Hospice Care Inc
• Edgar M Madera
• Patrice Madere
• Frederick J Mading, MD
• Madison Shreeves NP Inc

• Home Health Agency in Anaheim, CA
• Providers in Anaheim, 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 31, 2022; 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.