Organization Active NPI

Pristine Home Care Inc

  • Assisted Living Facility
  • Anaheim, CA
National Provider Identifier
1255119137
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PRISTINE HOME CARE INC
Practice address
9252 Pacific Ave
Anaheim, CA 92804-6371
Phone
(714) 699-1011
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Mr. Rod Somera Alvarado
Title
Licensee
Phone
(714) 928-1159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9252 Pacific Ave
Anaheim, CA 92804-6371

Mailing address

9252 Pacific Ave
Anaheim, CA 92804-6371
Phone (714) 699-1011

Other practice location 1

9252 Pacific Ave
Anaheim, CA 92804-6371
Phone (714) 699-1011

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1255119137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9252 PACIFIC AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046371",
            "telephone_number": "714-699-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9252 PACIFIC AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046371",
            "telephone_number": "714-699-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9252 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928046371",
            "country_code": "US",
            "telephone_number": "714-699-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRISTINE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "SOMERA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "714-928-1159",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.