Prolific Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000964 Issued in CA

Legal business name

PROLIFIC HEALTH CARE, INC.

Practice address

12631 Imperial Hwy
Suite C-105
Santa Fe Springs, CA 90670-4710

Phone

(562) 864-2627

Fax

(562) 864-2757

NPI assigned

Jul 31, 2007

Last updated

Oct 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Romeo Paz Rapadas

Title

Ceo/Administrator

Phone

(562) 864-2627

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prolific Health Care Other name

Listed as

Prolific Health Care, IncCCN 059128

Ownership

Proprietary

Certified

Dec 17, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1225228703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 IMPERIAL HWY",
            "address_2": "SUITE C-105",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704710",
            "telephone_number": "562-864-2627",
            "fax_number": "562-864-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 IMPERIAL HWY",
            "address_2": "SUITE C-105",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704710",
            "telephone_number": "562-864-2627",
            "fax_number": "562-864-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFIC HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "RAPADAS",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "PAZ",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "562-864-2627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PIN",
            "identifier": "4980339",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prolific Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Santa Fe Springs, CA
• Providers in Santa Fe Springs, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.