Organization Active NPI

DMC Healthcare Services

  • Home Health Agency
  • Santa Clarita, CA
National Provider Identifier
1053066530
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DMC HEALTHCARE SERVICES
Practice address
25101 The Old Rd Ste 124
Santa Clarita, CA 91381-2206
Phone
(562) 810-4026
NPI assigned
Feb 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Axle Ross De Villa
Title
Ceo
Phone
(562) 810-4026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

25101 The Old Rd Ste 124
Santa Clarita, CA 91381-2206

Mailing address

25101 The Old Rd Ste 124
Santa Clarita, CA 91381-2206
Phone (562) 810-4026

Other identifiers 1

IdentifierTypeStateIssuer
C4832621OtherCAARTICLES OF INCORPORATION

National Provider Directory

National Provider Directory

Locations

25101 The Old Rd
Ste 124
Santa Clarita, CA 91381
Phone (562) 810-4026

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1053066530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 THE OLD RD STE 124",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913812206",
            "telephone_number": "562-810-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 THE OLD RD STE 124",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913812206",
            "telephone_number": "562-810-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMC HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "DE VILLA",
        "authorized_official_first_name": "AXLE ROSS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-810-4026"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES OF INCORPORATION",
            "identifier": "C4832621",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.