Whitehead Private Care Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

WHITEHEAD PRIVATE CARE SERVICES

Practice address

15486 Daybreak LN
Fontana, CA 92337-0976

Phone

(909) 357-8008

NPI assigned

Aug 30, 2009

Organization subpart

No

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

Authorized official

Name

Aurelia WhiteheadNPI 1558988295

Title

Owner

Phone

(562) 544-7618

Specialties & licenses 2

Addresses

Practitioners 1

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

• Aurelia Whitehead, NP

  • Family Nurse Practitioner
  • Fontana, CA
  • NPI 1558988295
  NPD (past) Authorized official

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

{
    "created_epoch": "1251590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251590400000",
    "number": "1225261845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15486 DAYBREAK LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923370976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15486 DAYBREAK LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923370976",
            "telephone_number": "909-357-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHEAD PRIVATE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-30",
        "last_updated": "2009-08-30",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "AURELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-544-7618"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd A. Westra, MD
• Timothy W. Wheeler, MD
• Rahat Whig, DO
• David Howard Whitaker, D.O.
• James F White, LCSW
• Anaia Whitehead, NP
• Aurelia Whitehead, NP
• Larina Whitehorse
• Marylu Whitford
• Lisa Whitley, CNM

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fontana, CA
• Providers in Fontana, CA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2009; 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.