Organization Active NPI

Care Home Health Agency, LLC

  • Home Health Agency
  • La Mesa, CA
National Provider Identifier
1144205972
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARE HOME HEALTH AGENCY, LLC
Practice address
4215 Spring St
314C
La Mesa, CA 91941-7965
Phone
(619) 754-3725
NPI assigned
Dec 14, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Angel Nebres Prado III, REGISTERED NURSE
Title
Administrator/Director of Nursing
Phone
(619) 754-3725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4215 Spring St
314C
La Mesa, CA 91941-7965

Mailing address

1734 Brabham St
El Cajon, CA 92019-4101
Phone (619) 754-3725

National Provider Directory

National Provider Directory
Tax ID family
Care Home Health Agency LLC2 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.

Locations

4215 Spring St
Ste 314C
La Mesa, CA 91941
Phone (619) 754-3725

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144205972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 BRABHAM ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194101",
            "telephone_number": "619-754-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 SPRING ST",
            "address_2": "314C",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417965",
            "telephone_number": "619-754-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE HOME HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "NEBRES",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "619-754-3725",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.