Organization Active NPI

Definitive Home Health Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1063848943
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEFINITIVE HOME HEALTH INC
Practice address
3310 Verdugo Rd Ste a
Los Angeles, CA 90065-2845
Phone
(323) 256-2655
Fax
(323) 207-1050
NPI assigned
Sep 23, 2013
Last updated
Oct 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Ryan C Radenbaugh
Title
Ceo
Phone
(323) 256-2655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3310 Verdugo Rd Ste a
Los Angeles, CA 90065-2845

Mailing address

1814 Jackson St
Burbank, CA 91504-3534
Phone (323) 256-2655

National Provider Directory

National Provider Directory

Locations

3310 Verdugo Rd
Ste A
Los Angeles, CA 90065
Phone (323) 256-2655

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1063848943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 JACKSON ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915043534",
            "telephone_number": "323-256-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 VERDUGO RD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900652845",
            "telephone_number": "323-256-2655",
            "fax_number": "323-207-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFINITIVE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "RADENBAUGH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-256-2655"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.