Vineyard Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VINEYARD HOME HEALTHCARE LLC

Practice address

9605 Arrow Rte
Suite S,
Rancho Cucamonga, CA 91730-4555

Phone

(909) 987-0300

Fax

(909) 948-0300

NPI assigned

Apr 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Timothy O. Imoni

Title

Ceo

Phone

(909) 987-0300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1053708495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 ARROW RTE",
            "address_2": "SUITE S,",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 ARROW RTE",
            "address_2": "SUITE S,",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304555",
            "telephone_number": "909-987-0300",
            "fax_number": "909-948-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "IMONI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-987-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alondra Villegas
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• Samantha Villegas
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• Home Health Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Apr 23, 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.