Active NPI
CDK Home Care Inc
- Home Health Agency
- Montclair, CA
National Provider Identifier
1124207113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 25IE00000X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Montclair, CA
- NPI 1033374202
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.