Active NPI
Jade Specialty Home Health Care
- Home Health Agency
- Anaheim, CA
National Provider Identifier
1104223825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- RN760661
- Legal business name
- JADE SPECIALTY HOME HEALTH CARE
- Practice address
- 828 W Jade Way
Anaheim, CA 92805-2420 - Phone
- (714) 797-1153
- NPI assigned
- Nov 24, 2014
- Organization subpart
- Yes
- Parent organization
- JADE SPECIALTY HOME HEALTH CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Chantal Maria Banon, RN
- Title
- Director
- Phone
- (714) 797-1153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | RN760661 | CA | Primary |
Addresses
Primary practice location
828 W Jade Way
Anaheim, CA 92805-2420
Mailing address
828 W Jade Way
Anaheim, CA 92805-2420
Phone (714) 797-1153
Other names 1
- jade home health care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416787200000",
"number": "1104223825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 W JADE WAY",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052420",
"telephone_number": "714-797-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 W JADE WAY",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052420",
"telephone_number": "714-797-1153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JADE SPECIALTY HOME HEALTH CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JADE SPECIALTY HOME HEALTH CARE",
"enumeration_date": "2014-11-24",
"last_updated": "2014-11-24",
"status": "A",
"authorized_official_last_name": "BANON",
"authorized_official_first_name": "CHANTAL",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "714-797-1153",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "RN760661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "jade home health care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.