West Covina Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WEST COVINA HOME CARE LLC

Practice address

2041 Indiana St
West Covina, CA 91792-2415

Phone

(626) 807-9600

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Daveet Hajian

Title

Owner

Phone

(626) 807-9600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1053033688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 INDIANA ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922415",
            "telephone_number": "626-807-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 INDIANA ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922415",
            "telephone_number": "626-807-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COVINA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "HAJIAN",
        "authorized_official_first_name": "DAVEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-807-9600"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in West Covina, CA
• Providers in West Covina, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.