Inland Empire Homecare LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

INLAND EMPIRE HOMECARE LLC

Doing business as

Nurse Billboard

Practice address

4193 Flat Rock Dr
Riverside, CA 92505-7111

Phone

(909) 999-1241

NPI assigned

Aug 29, 2022

Last updated

Aug 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wynalda Tataw

Title

President

Phone

(909) 999-1241

Specialties & licenses 2

Addresses

Other names 1

• Nurse Billboard Doing business as

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1275253569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4193 FLAT ROCK DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4193 FLAT ROCK DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057111",
            "telephone_number": "909-999-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "TATAW",
        "authorized_official_first_name": "WYNALDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-999-1241"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurse Billboard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.