Active NPI
All Valley Home Care
- Adult Care Home Facility
- Costa Mesa, CA
National Provider Identifier
1134550551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 31135
- Legal business name
- ALL VALLEY HOME CARE
- Practice address
- 3303 Harbor Blvd
D#12
Costa Mesa, CA 92626-1530 - Phone
- (949) 722-4777
- NPI assigned
- Dec 11, 2013
- 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. Glen Amador
- Title
- President
- Phone
- (858) 571-7016
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 31135 | CA | Primary |
Addresses
Primary practice location
3303 Harbor Blvd
D#12
Costa Mesa, CA 92626-1530
Mailing address
3665 Ruffin Rd
Suite 103
San Diego, CA 92123-1855
National Provider Directory
National Provider Directory- Tax ID family
- All Valley Home Care
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- San Diego, CA
- NPI 1831512631
-
- In Home Supportive Care Agency
- Pleasant Hill, CA
- NPI 1477785525
-
- In Home Supportive Care Agency
- Costa Mesa, CA
- NPI 1780816835
Locations
3303 Harbor Blvd
Ste D12
Costa Mesa, CA 92626
Phone (949) 722-4777
3665 Ruffin Rd
Ste 103
San Diego, CA 92123
Phone (858) 571-7016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386720000000",
"number": "1134550551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3665 RUFFIN RD",
"address_2": "SUITE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 HARBOR BLVD",
"address_2": "D#12",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926261530",
"telephone_number": "949-722-4777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL VALLEY HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-11",
"last_updated": "2013-12-11",
"status": "A",
"authorized_official_last_name": "AMADOR",
"authorized_official_first_name": "GLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-571-7016",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "CA",
"license": "31135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.