Organization Active NPI

Fallbrook Hospital District

Doing business as Fallbrook Hospital Home Health Agency

  • Home Health Agency
  • Fallbrook, CA
National Provider Identifier
1205822988
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
080000426 Issued in CA
Legal business name
FALLBROOK HOSPITAL DISTRICT
Doing business as
Fallbrook Hospital Home Health Agency
Practice address
624 E Elder St
Fallbrook, CA 92028-3004
Phone
(760) 728-1191
Fax
(760) 728-1875
NPI assigned
Sep 27, 2005
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FALLBROOK HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Pat Smorzewski
Title
Director
Phone
(760) 728-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 080000426 CA Primary

Addresses

Primary practice location

624 E Elder St
Fallbrook, CA 92028-3004

Mailing address

624 E Elder St
Fallbrook, CA 92028-3004
Phone (760) 728-1191

Other identifiers 1

IdentifierTypeStateIssuer
HHA57001FMedicaidCA

Other names 1

  • Fallbrook Hospital Home Health Agency Doing business as

National Provider Directory

National Provider Directory
Part of
Fallbrook Hospital

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1205822988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E ELDER ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283004",
            "telephone_number": "760-728-1191",
            "fax_number": "760-728-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E ELDER ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283004",
            "telephone_number": "760-728-1191",
            "fax_number": "760-728-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLBROOK HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FALLBROOK HOSPITAL DISTRICT",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "SMORZEWSKI",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-728-1191"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "080000426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57001F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallbrook Hospital Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.