Acclaim Home Care Inc.

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

ACCLAIM HOME CARE INC.

Practice address

4340 Redwood Hwy A14
San Rafael, CA 94903

Phone

(415) 479-5125

Fax

(415) 479-5196

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Randolph Chu De Leon

Title

President

Phone

(415) 479-5125

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1053138503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 REDWOOD HWY A14",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-479-5125",
            "fax_number": "415-479-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 REDWOOD HWY A14",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-479-5125",
            "fax_number": "415-479-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCLAIM HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "CHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-479-5125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.