Hysperia Elderly Care Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HYSPERIA ELDERLY CARE HOME

Practice address

9846 Crestbrook St
Bellflower, CA 90706-2419

Phone

(562) 895-7072

Fax

(562) 925-3531

NPI assigned

Aug 7, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Meriam P Martinez, RN

Title

Administrator

Phone

(562) 895-7072

Specialties & licenses 1

Addresses

Other names 1

• Hesperia Care Center Doing business as

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1174789309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9846 CRESTBROOK STREET",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062419",
            "telephone_number": "562-895-7072",
            "fax_number": "562-925-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9846 CRESTBROOK ST",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062419",
            "telephone_number": "562-895-7072",
            "fax_number": "562-925-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYSPERIA ELDERLY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MERIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-895-7072",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hesperia Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Deanne Huntsinger
• Amy Huynh, RDH
• Quoc Huynh, PHARM.D.
• Kelley Mabel Hwang, PHARMD
• Paul S. Hwang, MD
• Hyuk Lee M.D. a Medical Corporation
• Jennifer Marie Iglesias Wilder
• Amarachi Emmanuella Igwe, PMHNP
• Eric T Ikeda, O.D.
• Jessica Zenaida Ilagan-Avergonzado, D.D.S.

• Skilled Nursing Facility in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.