Organization Active NPI

Avid Home Health Inc

  • Home Health Agency
  • Ontario, CA
National Provider Identifier
1184151136
Registry record updated May 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AVID HOME HEALTH INC
Practice address
609 N Lemon St Ste 11
Ontario, CA 91764-3760
Phone
(909) 391-9006
Fax
(267) 937-6246
NPI assigned
May 20, 2017
Last updated
May 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2017

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

Authorized official

Name
Ms. Joy Michelle Moises
Title
Ceo
Phone
(909) 391-9006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

609 N Lemon St Ste 11
Ontario, CA 91764-3760

Mailing address

25527 Sinclair PL
Stevenson Ranch, CA 91381-1411
Phone (818) 468-5513

National Provider Directory

National Provider Directory

Locations

609 N Lemon St
Ste 11
Ontario, CA 91764
Phone (909) 391-9006

NPI Registry JSON

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

{
    "created_epoch": "1495238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495238400000",
    "number": "1184151136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25527 SINCLAIR PL",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913811411",
            "telephone_number": "818-468-5513",
            "fax_number": "267-937-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N LEMON ST STE 11",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643760",
            "telephone_number": "909-391-9006",
            "fax_number": "267-937-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVID HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-20",
        "last_updated": "2017-05-20",
        "status": "A",
        "authorized_official_last_name": "MOISES",
        "authorized_official_first_name": "JOY MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-391-9006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2017; 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.