Organization Active NPI

WP Home Care LLC

  • Assisted Living Facility
  • Jurupa Valley, CA
National Provider Identifier
1205676343
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WP HOME CARE LLC
Practice address
11949 Tributary Way
Jurupa Valley, CA 91752-2764
Phone
(657) 722-9269
NPI assigned
May 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Patsara Chantharaseth
Title
Owner
Phone
(657) 722-9269

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11949 Tributary Way
Jurupa Valley, CA 91752-2764

Mailing address

6305 Nobury CT
Eastvale, CA 92880-8567
Phone (657) 722-9269

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1205676343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 NOBURY CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808567",
            "telephone_number": "657-722-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11949 TRIBUTARY WAY",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917522764",
            "telephone_number": "657-722-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "CHANTHARASETH",
        "authorized_official_first_name": "PATSARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "657-722-9269"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jurupa Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.