Organization Active NPI

Egemo Home Health Service

  • Home Health Agency
  • Oceanside, CA
National Provider Identifier
1154630853
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
110810 Issued in CA
Legal business name
EGEMO HOME HEALTH SERVICE
Practice address
1201 Sea Cliff Way
Oceanside, CA 92056-2828
Phone
(760) 754-7093
Fax
(760) 754-2053
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Mrs. Martha Jean Egemo, AA MEDICAL MANAGMENT
Title
Owner
Phone
(760) 754-7093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 110810 CA Primary

Addresses

Primary practice location

1201 Sea Cliff Way
Oceanside, CA 92056-2828

Mailing address

1201 Sea Cliff Way
Oceanside, CA 92056-2828
Phone (760) 754-7093

National Provider Directory

National Provider Directory
Tax ID family
Egemo Home Health Service2 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.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1154630853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SEA CLIFF WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920562828",
            "telephone_number": "760-754-7093",
            "fax_number": "760-754-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SEA CLIFF WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920562828",
            "telephone_number": "760-754-7093",
            "fax_number": "760-754-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGEMO HOME HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "EGEMO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-754-7093",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AA MEDICAL MANAGMENT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "110810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.