Organization Active NPI

Blueberry Hill Healthcare Services

  • Home Health Agency
  • San Bernardino, CA
National Provider Identifier
1043961469
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BLUEBERRY HILL HEALTHCARE SERVICES
Practice address
357 W 2ND St Ste 11C
San Bernardino, CA 92401-1803
Phone
(818) 484-6122
NPI assigned
Jan 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Erlinda Colman
Title
Ceo
Phone
(818) 484-6122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

357 W 2ND St Ste 11C
San Bernardino, CA 92401-1803

Mailing address

357 W 2ND St Ste 11C
San Bernardino, CA 92401-1803
Phone (818) 484-6122

National Provider Directory

National Provider Directory

Locations

357 W 2nd St
Ste 11C
San Bernardino, CA 92401
Phone (818) 484-6122

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1043961469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 W 2ND ST STE 11C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011803",
            "telephone_number": "818-484-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 W 2ND ST STE 11C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011803",
            "telephone_number": "818-484-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBERRY HILL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "COLMAN",
        "authorized_official_first_name": "ERLINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-484-6122"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.