Organization Active NPI

Santa Rita Home Care, Inc.

  • Home Health Agency
  • Long Beach, CA
National Provider Identifier
1205874294
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SANTA RITA HOME CARE, INC.
Practice address
4383 Linden Ave
Long Beach, CA 90807-2724
Phone
(562) 989-1409
Fax
(562) 989-1469
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick Rojas Afan
Title
Administrator
Phone
(562) 989-1409

Specialties & licenses 1

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

Addresses

Primary practice location

4383 Linden Ave
Long Beach, CA 90807-2724

Mailing address

4383 Linden Ave
Long Beach, CA 90807-2724
Phone (562) 989-1409

Other identifiers 1

IdentifierTypeStateIssuer
HHA08159FMedicaidCA

National Provider Directory

National Provider Directory

Locations

17215 Studebaker Rd
Ste 130
Cerritos, CA 90703
Phone (562) 403-1409

2770 S Maryland Pkwy
#203
Las Vegas, NV 89109
Phone (702) 893-1023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205874294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 LINDEN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072724",
            "telephone_number": "562-989-1409",
            "fax_number": "562-989-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 LINDEN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072724",
            "telephone_number": "562-989-1409",
            "fax_number": "562-989-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA RITA HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AFAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ROJAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-989-1409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08159F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.