Organization Active NPI

Simply Secure Home Health Services, Inc.

  • Home Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1154514172
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIMPLY SECURE HOME HEALTH SERVICES, INC.
Practice address
9613 Arrow Rte BLDG 3
Suite L
Rancho Cucamonga, CA 91730-4552
Phone
(909) 946-7295
Fax
(909) 946-7296
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Mr. Luis A. Tungol
Title
Vice President
Phone
(909) 946-7295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9613 Arrow Rte BLDG 3
Suite L
Rancho Cucamonga, CA 91730-4552

Mailing address

9613 Arrow Rte BLDG 3
Suite L
Rancho Cucamonga, CA 91730-4552
Phone (909) 946-7295

National Provider Directory

National Provider Directory

Locations

222 N Mountain Ave
Ste 109
Upland, CA 91786
Phone (909) 946-7295

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1154514172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 ARROW RTE BLDG 3",
            "address_2": "SUITE L",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304552",
            "telephone_number": "909-946-7295",
            "fax_number": "909-946-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 ARROW RTE BLDG 3",
            "address_2": "SUITE L",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304552",
            "telephone_number": "909-946-7295",
            "fax_number": "909-946-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SECURE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "TUNGOL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "909-946-7295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.