Active NPI
Building Blocks Pediatric Home Health Services
- Home Health Registered Nurse
- Aliso Viejo, CA
National Provider Identifier
1164419990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- BUILDING BLOCKS PEDIATRIC HOME HEALTH SERVICES
- Practice address
- 6 Journey
Suites 135
Aliso Viejo, CA 92656-5317 - Phone
- (813) 890-8004
- Fax
- (813) 290-9691
- NPI assigned
- Oct 6, 2005
- 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
- Ron Mills
- Title
- President
- Phone
- (813) 890-8004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | Primary |
Addresses
Primary practice location
6 Journey
Suites 135
Aliso Viejo, CA 92656-5317
Mailing address
PO Box 779
Columbia, SC 29202-0779
Phone (813) 890-8004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA57464G | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
6 Journey
Ste 135
Aliso Viejo, CA 92656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305763200000",
"number": "1164419990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 779",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292020779",
"telephone_number": "813-890-8004",
"fax_number": "813-290-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 JOURNEY",
"address_2": "SUITES 135",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926565317",
"telephone_number": "813-890-8004",
"fax_number": "813-290-9691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUILDING BLOCKS PEDIATRIC HOME HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-06",
"last_updated": "2011-05-19",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-890-8004"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA57464G",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.