Active NPI
In Home Health LLC
- Community Based Hospice Care Agency
- West Covina, CA
National Provider Identifier
1194777573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 980001300
- Legal business name
- IN HOME HEALTH LLC
- Practice address
- 1000 Lakes Dr
Suite 225
West Covina, CA 91790-2900 - Phone
- (626) 918-1207
- Fax
- (626) 918-4918
- NPI assigned
- May 16, 2006
- 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
- Mr. Barry A Lazarus
- Title
- Vice President - Reimbursements
- Phone
- (419) 252-5541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 980001300 | CA | Primary |
Addresses
Primary practice location
1000 Lakes Dr
Suite 225
West Covina, CA 91790-2900
Mailing address
333 N Summit St
Attn: Dean Shipman
Toledo, OH 43604-1531
Phone (419) 254-7841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HPC-01695F | Medicaid | CA |
Other names 1
- Heartland Home Health Care and Hospice
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363305600000",
"number": "1194777573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"address_2": "ATTN: DEAN SHIPMAN",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041531",
"telephone_number": "419-254-7841",
"fax_number": "419-252-6448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LAKES DR",
"address_2": "SUITE 225",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902900",
"telephone_number": "626-918-1207",
"fax_number": "626-918-4918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2013-03-15",
"status": "A",
"authorized_official_last_name": "LAZARUS",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENTS",
"authorized_official_telephone_number": "419-252-5541",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CA",
"license": "980001300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HPC-01695F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland Home Health Care and Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.