Ac Home Care Services Private Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980000735 Issued in CA

Legal business name

AC HOME CARE SERVICES PRIVATE INC

Practice address

3870 Crenshaw Blvd Ste 209
Los Angeles, CA 90008-1815

Phone

(323) 294-5189

Fax

(323) 293-0047

NPI assigned

Sep 23, 2010

Last updated

Sep 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amelia M Campbell, RN MS

Title

Administrator

Phone

(323) 294-5189

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1134437247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 CRENSHAW BLVD STE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081815",
            "telephone_number": "323-294-5189",
            "fax_number": "323-293-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 CRENSHAW BLVD STE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081815",
            "telephone_number": "323-294-5189",
            "fax_number": "323-293-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC HOME CARE SERVICES PRIVATE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-294-5189",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN MS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07433G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.