Active NPI
In Home Respite & Caregivers, Inc
- Child Intellectual and/or Developmental Disabilities Respite Care
- Palmdale, CA
National Provider Identifier
1306176102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- IN HOME RESPITE & CAREGIVERS, INC
- Practice address
- 602 Commerce Ave
Ste G
Palmdale, CA 93551-3882 - Phone
- (661) 480-0762
- NPI assigned
- Dec 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roy J Williams
- Title
- President
- Phone
- (818) 322-8434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | CA | Primary |
Addresses
Primary practice location
602 Commerce Ave
Ste G
Palmdale, CA 93551-3882
Mailing address
6520 Platt Ave # 735
West Hills, CA 91307-3218
National Provider Directory
National Provider DirectoryLocations
602 Commerce Ave
Ste G
Palmdale, CA 93551
Phone (661) 480-0762
6520 Platt Ave
#735
West Hills, CA 91307
Phone (818) 322-8434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262131200000",
"number": "1306176102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 PLATT AVE # 735",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913073218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 COMMERCE AVE",
"address_2": "STE G",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935513882",
"telephone_number": "661-480-0762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HOME RESPITE & CAREGIVERS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-30",
"last_updated": "2009-12-30",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-322-8434",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Dejanee Joanna Iles, NONE
- Independence Community Treatment Clinic
- Independence Community Treatment Clinic
- Independence Community Treatment Clinic
- Independence Community Treatment Clinic
- Independence Community Treatment Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.