Organization Active NPI

All Valley Home Care

  • Adult Care Home Facility
  • Costa Mesa, CA
National Provider Identifier
1134550551
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
31135 Issued in CA
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

Updated by the provider on Dec 11, 2013

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)CodeLicenseStatePrimary
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 Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

Verify at the official NPI Registry.