Active NPI
Healthy Living at Home LLC
- Home Health Agency
- San Bruno, CA
National Provider Identifier
1225310014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEALTHY LIVING AT HOME LLC
- Practice address
- 1111 Bayhill Dr
Suite 140
San Bruno, CA 94066-3027 - Phone
- (650) 332-5008
- NPI assigned
- Sep 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Verhoeve
- Title
- Ceo
- Phone
- (888) 871-0766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1111 Bayhill Dr
Suite 140
San Bruno, CA 94066-3027
Mailing address
2365 Northside Dr Ste 200
San Diego, CA 92108-2720
Phone (888) 871-0766
National Provider Directory
National Provider DirectoryLocations
1111 Bayhill Dr
Ste 140
San Bruno, CA 94066
Phone (650) 332-5008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683158400000",
"number": "1225310014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2365 NORTHSIDE DR STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921082720",
"telephone_number": "888-871-0766",
"fax_number": "866-551-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 BAYHILL DR",
"address_2": "SUITE 140",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940663027",
"telephone_number": "650-332-5008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY LIVING AT HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-16",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A",
"authorized_official_last_name": "VERHOEVE",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "888-871-0766"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.