Organization Active NPI

GHC Home Health, Inc.

  • Home Health Agency
  • San Bernardino, CA
National Provider Identifier
1073871570
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GHC HOME HEALTH, INC.
Practice address
350 W 5TH St
Ste #103
San Bernardino, CA 92401-1351
Phone
(951) 545-4462
Fax
(909) 981-9652
NPI assigned
May 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Kathleen Janet Haywood
Title
Administrator
Phone
(951) 545-4462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

350 W 5TH St
Ste #103
San Bernardino, CA 92401-1351

Mailing address

1476 W 9TH St
Ste # B-1
Upland, CA 91786-5743
Phone (951) 545-4462

National Provider Directory

National Provider Directory

Locations

350 W 5th St
Ste 103
San Bernardino, CA 92401
Phone (951) 545-4462

906 W 9th St
Upland, CA 91786
Phone (909) 252-7828

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1073871570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 W 9TH ST",
            "address_2": "STE # B-1",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865743",
            "telephone_number": "951-545-4462",
            "fax_number": "909-981-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 5TH ST",
            "address_2": "STE #103",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011351",
            "telephone_number": "951-545-4462",
            "fax_number": "909-981-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "JANET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-545-4462"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.