RN Elder Care Provider Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

015601286 Issued in CA

Legal business name

RN ELDER CARE PROVIDER INC

Practice address

3179 San Rafael Way
Union City, CA 94587-2818

Phone

(510) 209-9601

Fax

(510) 487-2785

NPI assigned

Jun 26, 2015

Organization subpart

No

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

Authorized official

Name

Nadine Anselmo JuaniNPI 1063989994

Title

Administrator

Phone

(510) 209-9601

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nadine Juani

  • Home Health Aide
  • Union City, CA
  • NPI 1063989994
  NPD (past) Authorized official

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1295117109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 SAN RAFAEL WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945872818",
            "telephone_number": "510-209-9601",
            "fax_number": "510-487-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3179 SAN RAFAEL WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945872818",
            "telephone_number": "510-209-9601",
            "fax_number": "510-487-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RN ELDER CARE PROVIDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "JUANI",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "ANSELMO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-209-9601"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "015601286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Scott Rieken, FNP
• Rina Campbell DMD, Inc
• Hannah Rincon
• Tristan Nathaniel G Rivac
• Thelma Rivera, RN
• Eric K Robertson, PT, DPT
• Grace Robinette
• Brieana Robinson, ACSW
• Amberly Rodela
• Carolee Anne Rodrigo, CTRS, RTC

• Community Health Clinic/Center in Union City, CA
• Providers in Union City, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.