Organization Active NPI

Peppermint Holdings LLC

  • Home Health Agency
  • Ontario, CA
National Provider Identifier
1205182714
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEPPERMINT HOLDINGS LLC
Doing business as
OneCare Home Health
Practice address
3350 Shelby St
Suite 370
Ontario, CA 91764-4882
Phone
(909) 784-3600
Fax
(909) 643-8059
NPI assigned
Aug 2, 2012
Organization subpart
Yes
Parent organization
PEPPERMINT HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Travis Wilson
Title
Administrator
Phone
(909) 784-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3350 Shelby St
Suite 370
Ontario, CA 91764-4882

Mailing address

3350 Shelby St
Suite 370
Ontario, CA 91764-4882
Phone (909) 784-3600

Other names 1

  • OneCare Home Health Doing business as

National Provider Directory

National Provider Directory
Part of
Peppermint Holdings LLC

Locations

3350 Shelby St
#370B
Ontario, CA 91764
Phone (909) 466-9382

3350 Shelby St
#370A
Ontario, CA 91764
Phone (909) 784-3600

2001 N Garey Ave
#102B
Pomona, CA 91767
Phone (909) 784-3600

9269 Utica Ave
Ste 175
Rancho Cucamonga, CA 91730
Phone (909) 466-9382

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1205182714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 SHELBY ST",
            "address_2": "SUITE 370",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644882",
            "telephone_number": "909-784-3600",
            "fax_number": "909-643-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SHELBY ST",
            "address_2": "SUITE 370",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644882",
            "telephone_number": "909-784-3600",
            "fax_number": "909-643-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPERMINT HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEPPERMINT HOLDINGS LLC",
        "enumeration_date": "2012-08-02",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-784-3600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OneCare Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 10, 2015; 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.