Home Care Medical Systems

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980000776 Issued in CO

Legal business name

HOME CARE MEDICAL SYSTEMS

Practice address

259 S. Randolph Ave.
#180 K
Brea, CA 92821

Phone

(714) 671-6877

Fax

(714) 671-6801

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jeannine A Fitzgerald, RN, BA, MA

Title

President, Ceo

Phone

(626) 445-6558

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Care Providers and Home Care Nurses Doing business as

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1053440461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11063",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-671-6877",
            "fax_number": "714-671-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 S. RANDOLPH AVE.",
            "address_2": "#180 K",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-671-6877",
            "fax_number": "714-671-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE MEDICAL SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "626-445-6558",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BA, MA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "980000776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSE #",
            "identifier": "980000776",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care Providers and Home Care Nurses",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Brea, CA
• Providers in Brea, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.