Active NPI
Mission Home Health Service, Inc.
Doing business as Mission Home Health Service
- Home Health Agency
- Los Angeles, CA
National Provider Identifier
1255755377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 680581025
- Legal business name
- MISSION HOME HEALTH SERVICE, INC.
- Doing business as
- Mission Home Health Service
- Practice address
- 3250 Wilshire Blvd
1105
Los Angeles, CA 90010-1577 - Phone
- (213) 387-4663
- Fax
- (213) 387-4664
- NPI assigned
- Feb 10, 2014
- 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
- Mr. Eddie Choi
- Title
- Administrator
- Phone
- (213) 387-4663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 680581025 | CA | Primary |
Addresses
Primary practice location
3250 Wilshire Blvd
1105
Los Angeles, CA 90010-1577
Mailing address
3250 Wilshire Blvd.
1105
Los Angeles, CA 90010
Phone (213) 387-4663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08131G | Medicaid | CA |
Other names 1
- Mission Home Health Service
National Provider Directory
National Provider DirectoryLocations
3250 Wilshire Blvd
Ste 1105
Los Angeles, CA 90010
Phone (213) 387-4663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391990400000",
"number": "1255755377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 WILSHIRE BLVD.",
"address_2": "1105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90010",
"telephone_number": "213-387-4663",
"fax_number": "213-387-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 WILSHIRE BLVD",
"address_2": "1105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101577",
"telephone_number": "213-387-4663",
"fax_number": "213-387-4664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION HOME HEALTH SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-10",
"last_updated": "2014-02-10",
"status": "A",
"authorized_official_last_name": "CHOI",
"authorized_official_first_name": "EDDIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "213-387-4663",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "680581025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA08131G",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mission Home Health Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.