Health to Home, Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

A65963 Issued in CA

Legal business name

HEALTH TO HOME, INC

Practice address

5750 Division St
Suite 209
Riverside, CA 92506-3269

Phone

(951) 368-0428

Fax

(951) 368-0429

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Steve Stanley Wildish

Title

Secretary/Treasurer

Phone

(951) 368-0428

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1285029140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 DIVISION ST STE 209",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063269",
            "telephone_number": "951-368-0428",
            "fax_number": "951-368-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DIVISION ST",
            "address_2": "SUITE 209",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063269",
            "telephone_number": "951-368-0428",
            "fax_number": "951-368-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH TO HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "WILDISH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "951-368-0428",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A65963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.