NPIMap

Organization Active NPI

Exclusive Home Care Services

  • Substance Abuse Rehabilitation Facility
  • Arroyo Grande, CA
National Provider Identifier
1235403080
Registry record updated Feb 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
623990 Issued in CA
Legal business name
EXCLUSIVE HOME CARE SERVICES
Practice address
204 Moore LN
Arroyo Grande, CA 93420-5039
Phone
(805) 806-0095
Fax
(805) 489-1399
NPI assigned
Feb 25, 2012
Last updated
Feb 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2012

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

Authorized official

Name
Mr. Frederick Alan Avila
Title
Director of Operations
Phone
(805) 806-0095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 623990 CA Primary

Addresses

Primary practice location

204 Moore LN
Arroyo Grande, CA 93420-5039

Mailing address

204 Moore LN
Arroyo Grande, CA 93420-5039
Phone (805) 806-0095

National Provider Directory

National Provider Directory
Tax ID family
Exclusive Home Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1330128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330128000000",
    "number": "1235403080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MOORE LN",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934205039",
            "telephone_number": "805-806-0095",
            "fax_number": "805-489-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MOORE LN",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934205039",
            "telephone_number": "805-806-0095",
            "fax_number": "805-489-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVE HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-25",
        "last_updated": "2012-02-25",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "805-806-0095",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "623990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2012; 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.