Organization Active NPI

Imperial Valley Home Health Care Corporation

  • Home Health Agency
  • Brawley, CA
National Provider Identifier
1104889930
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
080000454 Issued in CA
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

Updated by the provider on Feb 2, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HHA07415FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Imperial Valley Home Health Care Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.