St. Clare'S Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

060000774 Issued in CA

Legal business name

ST. CLARE'S HOME CARE, INC.

Practice address

12912 Brookhurst St
Suite 402
Garden Grove, CA 92840-4835

Phone

(714) 638-9700

Fax

(714) 638-9000

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Magabilin Manug, R.N.

Title

Administrator

Phone

(714) 638-9700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1154314201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12912 BROOKHURST ST",
            "address_2": "SUITE 402",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404835",
            "telephone_number": "714-638-9700",
            "fax_number": "714-638-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12912 BROOKHURST ST",
            "address_2": "SUITE 402",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404835",
            "telephone_number": "714-638-9700",
            "fax_number": "714-638-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLARE'S HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "MANUG",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MAGABILIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-638-9700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "060000774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Garden Grove, CA
• Providers in Garden Grove, 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 Oct 10, 2012; 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.