Organization Active NPI

CDK Home Care Inc

  • Home Health Agency
  • Montclair, CA
National Provider Identifier
1124207113
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
25IE00000X Issued in CA
Legal business name
CDK HOME CARE INC
Practice address
5050 Palo Verde St
Ste 214
Montclair, CA 91768-2829
Phone
(909) 482-1232
Fax
(909) 482-1237
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Donato Juan Aguete Ros
Title
Cpo Vice President
Phone
(818) 634-4696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 25IE00000X CA Primary

Addresses

Primary practice location

5050 Palo Verde St
Ste 214
Montclair, CA 91768-2829

Mailing address

5050 Palo Verde St
Ste 214
Montclair, CA 91768-2829
Phone (909) 482-1232

National Provider Directory

National Provider Directory
Tax ID family
CDK Home Care Inc2 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1124207113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 PALO VERDE ST",
            "address_2": "STE 214",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917682829",
            "telephone_number": "909-482-1232",
            "fax_number": "909-482-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 PALO VERDE ST",
            "address_2": "STE 214",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917682829",
            "telephone_number": "909-482-1232",
            "fax_number": "909-482-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDK HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "ROS",
        "authorized_official_first_name": "DONATO JUAN",
        "authorized_official_middle_name": "AGUETE",
        "authorized_official_title_or_position": "CPO VICE PRESIDENT",
        "authorized_official_telephone_number": "818-634-4696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "25IE00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.