Carequest Health, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

960001418 Issued in CA

Legal business name

CAREQUEST HEALTH, INC

Practice address

1017 E Harvest Moon St
West Covina, CA 91792-1023

Phone

(626) 665-8938

Fax

(714) 916-0242

NPI assigned

Nov 9, 2017

Organization subpart

No

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

Authorized official

Name

Yolie Crume, REGISTERED NURSE

Title

Director of Nursing

Phone

(626) 665-8938

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1043723323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8172 CENTERSTONE DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926468571",
            "telephone_number": "626-665-8938",
            "fax_number": "714-916-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 E HARVEST MOON ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921023",
            "telephone_number": "626-665-8938",
            "fax_number": "714-916-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREQUEST HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "CRUME",
        "authorized_official_first_name": "YOLIE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "626-665-8938",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "960001418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in West Covina, CA
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.