Active NPI
Imperial Valley Home Health Care Corporation
- Home Health Agency
- Brawley, CA
National Provider Identifier
1104889930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 080000454
- Legal business name
- IMPERIAL VALLEY HOME HEALTH CARE CORPORATION
- Practice address
- 630 S Brawley Ave Ste 5
Brawley, CA 92227-3107 - Phone
- (760) 344-9180
- Fax
- (760) 344-8181
- NPI assigned
- Apr 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Catalina A Santillan, BSBA
- Title
- Administrator
- Phone
- (760) 344-9180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 080000454 | CA | Primary |
Addresses
Primary practice location
630 S Brawley Ave Ste 5
Brawley, CA 92227-3107
Mailing address
630 S Brawley Ave Ste 5
Brawley, CA 92227-3107
Phone (760) 344-9180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA07415F | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Imperial Valley Home Health Care Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- El Centro, CA
- NPI 1003215518
Locations
630 S Brawley Ave
Ste 5
Brawley, CA 92227
Phone (760) 344-9180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296604800000",
"number": "1104889930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 S BRAWLEY AVE STE 5",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922273107",
"telephone_number": "760-344-9180",
"fax_number": "760-344-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 S BRAWLEY AVE STE 5",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922273107",
"telephone_number": "760-344-9180",
"fax_number": "760-344-8181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPERIAL VALLEY HOME HEALTH CARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2011-02-02",
"status": "A",
"authorized_official_last_name": "SANTILLAN",
"authorized_official_first_name": "CATALINA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "760-344-9180",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BSBA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "080000454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA07415F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brawley, CA
- Imperial Valley Family Care Medical Group, Apc
- Imperial Valley Healthcare District
- Imperial Valley Healthcare District
- Imperial Valley Healthcare District
- Imperial Valley Healthcare District
- Imperial Valley Hospitalist Inc
- Imperial Valley Wellness Center
- Imperial Valleyrespite, Inc.
- Ramaiah Indudhara, MD
- Inland Empire Medical Transportation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.