Care Republic Cca LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CARE REPUBLIC CCA LLC

Practice address

11175 Azusa CT Ste 110
Rancho Cucamonga, CA 91730-4933

Phone

(909) 317-8207

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Jemalyne Pino Buno

Title

Owner

Phone

(909) 317-8207

Specialties & licenses 1

Addresses

Other names 1

• Care Republic CCA LLC Other name

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1184499717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 AZUSA CT STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304933",
            "telephone_number": "909-317-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 AZUSA CT STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304933",
            "telephone_number": "909-317-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE REPUBLIC CCA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "BUNO",
        "authorized_official_first_name": "JEMALYNE",
        "authorized_official_middle_name": "PINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-317-8207"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Republic CCA LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.