Active NPI
Admin Impact
- In Home Supportive Care Agency
- Riverside, CA
National Provider Identifier
1083405732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ADMIN IMPACT
- Practice address
- 4795 Beatty Dr
Riverside, CA 92506-2308 - Phone
- (909) 206-3636
- NPI assigned
- May 13, 2025
- Organization subpart
- Yes
- Parent organization
- ADMIN IMPACT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Nicole Ordaz
- Title
- Owner
- Phone
- (909) 206-3636
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4795 Beatty Dr
Riverside, CA 92506-2308
Mailing address
4795 Beatty Dr
Riverside, CA 92506-2308
Phone (909) 206-3636
National Provider Directory
National Provider Directory- Part of
- Admin Impact
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Doula
- Riverside, CA
- NPI 1083401814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747094400000",
"number": "1083405732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4795 BEATTY DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062308",
"telephone_number": "909-206-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4795 BEATTY DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062308",
"telephone_number": "909-206-3636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADMIN IMPACT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADMIN IMPACT",
"enumeration_date": "2025-05-13",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A",
"authorized_official_last_name": "ORDAZ",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-206-3636"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.