Organization Active NPI

Socal Caregivers, Inc.

  • Home Health Agency
  • Temecula, CA
National Provider Identifier
1255950200
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOCAL CAREGIVERS, INC.
Practice address
43537 Ridge Park Dr Ste 100
Temecula, CA 92590-3613
Phone
(951) 595-8789
Fax
(951) 380-8476
NPI assigned
Apr 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
David Russell
Title
Ceo
Phone
(951) 595-8788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

43537 Ridge Park Dr Ste 100
Temecula, CA 92590-3613

Mailing address

43537 Ridge Park Dr Ste 100
Temecula, CA 92590-3613

Other names 1

  • Amada Senior Care - Temecula Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.amadaseniorcare.com/temecula-senior-care/ Direct

National Provider Directory

National Provider Directory

Locations

43537 Ridge Park Dr
Ste 100
Temecula, CA 92590
Phone (424) 450-3911

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1255950200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43537 RIDGE PARK DR STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43537 RIDGE PARK DR STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903613",
            "telephone_number": "951-595-8789",
            "fax_number": "951-380-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL CAREGIVERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-595-8788"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.amadaseniorcare.com/temecula-senior-care/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "43537 Ridge Park Dr Ste 100",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925903613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amada Senior Care - Temecula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.