Organization Active NPI

United Nursing Personal Care, Inc

  • Adult Care Home Facility
  • Victorville, CA
National Provider Identifier
1053677799
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
UNITED NURSING PERSONAL CARE, INC
Practice address
16044 Bear Valley Rd Ste 5
Victorville, CA 92395-8981
Phone
(760) 244-4737
Fax
(760) 244-7033
NPI assigned
Apr 6, 2012
Last updated
Apr 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Mrs. Rosa A Portillo, RNNPI 1164780912
Title
Don
Phone
76024447347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

16044 Bear Valley Rd Ste 5
Victorville, CA 92395-8981

Mailing address

13001 Mirage Rd
Victorville, CA 92392-6311
Phone (760) 244-4737

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1053677799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 MIRAGE RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923926311",
            "telephone_number": "760-244-4737",
            "fax_number": "760-244-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16044 BEAR VALLEY RD STE 5",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958981",
            "telephone_number": "760-244-4737",
            "fax_number": "760-244-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED NURSING PERSONAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "PORTILLO",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "76024447347",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.