Organization Active NPI

At Home Senior Care Services LLC

  • In Home Supportive Care Agency
  • Covina, CA
National Provider Identifier
1053748285
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
201206710241 Issued in CA
Legal business name
AT HOME SENIOR CARE SERVICES LLC
Practice address
20628 E Arrow Hwy
Ste 2
Covina, CA 91724-1343
Phone
(626) 252-8141
Fax
(888) 800-1432
NPI assigned
Oct 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Mrs. Belle C Decina, M.A. ED
Title
Ceo/ Founder
Phone
(626) 252-8141

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 201206710241 CA Primary
In Home Supportive Care Agency 253Z00000X 0001715 TN

Addresses

Primary practice location

20628 E Arrow Hwy
Ste 2
Covina, CA 91724-1343

Mailing address

20628 E Arrow Hwy
Ste 2
Covina, CA 91724-1343
Phone (626) 252-8141

National Provider Directory

National Provider Directory

Locations

20628 E Arrow Hwy
Ste 2
Covina, CA 91724
Phone (626) 252-8141

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1053748285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20628 E ARROW HWY",
            "address_2": "STE 2",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241343",
            "telephone_number": "626-252-8141",
            "fax_number": "888-800-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20628 E ARROW HWY",
            "address_2": "STE 2",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241343",
            "telephone_number": "626-252-8141",
            "fax_number": "888-800-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME SENIOR CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "DECINA",
        "authorized_official_first_name": "BELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/ FOUNDER",
        "authorized_official_telephone_number": "626-252-8141",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. ED"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "201206710241",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "0001715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.