Organization Active NPI

Mission Home Health Service, Inc.

Doing business as Mission Home Health Service

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1255755377
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
680581025 Issued in CA
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

Updated by the provider on Feb 10, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HHA08131GMedicaidCA

Other names 1

  • Mission Home Health Service Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.