Myrtle Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MYRTLE HEALTHCARE, LLC

Practice address

277 Lighthouse Dr
Vallejo, CA 94590-4030

Phone

(925) 219-6615

NPI assigned

Aug 1, 2023

Organization subpart

No

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

Authorized official

Name

Arinze Nwozor

Title

Owner

Phone

(925) 219-6152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1285316232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 LIGHTHOUSE DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904030",
            "telephone_number": "925-219-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 LIGHTHOUSE DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904030",
            "telephone_number": "925-219-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRTLE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "NWOZOR",
        "authorized_official_first_name": "ARINZE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-219-6152"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Cobb Mutter, RCP
• Monica A. Muzzin, PA-C
• My Home
• Megan Virginia Myburgh
• Maung M. Myint, MD
• Pauline A. Mysliwiec, MD
• Laura Nacionales
• Zain Singh Nagra
• Antonious Naguib
• Viktor Naiman, M.D.

• Home Health Agency in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.