Valleychoice Home Health Extenders LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VALLEYCHOICE HOME HEALTH EXTENDERS LLC

Practice address

17625 Central Ave Ste C
Carson, CA 90746-1661

Phone

(310) 228-8682

NPI assigned

Dec 18, 2020

Last updated

Dec 18, 2020By 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

Mr. Ike Ogbodo, NURSE PRACTITIONER

Title

Manager

Phone

(310) 228-8682

Specialties & licenses 1

Addresses

Other names 1

• same as above Former legal business name

Locations

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1144816513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17625 CENTRAL AVE STE C",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461661",
            "telephone_number": "310-228-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17625 CENTRAL AVE STE C",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461661",
            "telephone_number": "310-228-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYCHOICE HOME HEALTH EXTENDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "OGBODO",
        "authorized_official_first_name": "IKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-228-8682",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same as above",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Carson, CA
• Providers in Carson, 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 Dec 18, 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.