Organization Active NPI

Jade Specialty Home Health Care

  • Home Health Agency
  • Anaheim, CA
National Provider Identifier
1104223825
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
RN760661 Issued in CA
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 CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.