Eternity Home Health of Yuma LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ETERNITY HOME HEALTH OF YUMA LLC

Practice address

250 W 24TH St Ste E
Yuma, AZ 85364-8506

Phone

(661) 902-8828

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Carlo John A Doblar

Title

Manager

Phone

(661) 902-8828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1063295285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 E 25TH PL",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653242",
            "telephone_number": "661-902-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 24TH ST STE E",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648506",
            "telephone_number": "661-902-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNITY HOME HEALTH OF YUMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "DOBLAR",
        "authorized_official_first_name": "CARLO JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "661-902-8828"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Jan 14, 2025; 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.