Active NPI
Care Home Health Agency, LLC
- Home Health Agency
- La Mesa, CA
National Provider Identifier
1144205972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2020
- 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. Angel Nebres Prado III, REGISTERED NURSE
- Title
- Administrator/Director of Nursing
- Phone
- (619) 754-3725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- El Cajon, CA
- NPI 1679716377
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.