Organization Active NPI

Bama Street Investments LLC

  • In Home Supportive Care Agency
  • San Diego, CA
National Provider Identifier
1306456165
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BAMA STREET INVESTMENTS LLC
Practice address
7840 Mission Center CT Ste 100
San Diego, CA 92108-1320
Phone
(619) 880-5334
Fax
(619) 877-6265
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Premal Desai
Title
Ceo
Phone
(702) 285-3259

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7840 Mission Center CT Ste 100
San Diego, CA 92108-1320

Mailing address

7840 Mission Center CT Ste 100
San Diego, CA 92108-1320
Phone (619) 880-5334

Other names 1

  • NURSE NEXT DOOR SAN DIEGO Doing business as

National Provider Directory

National Provider Directory

Locations

3130 5th Ave
Ste 1
San Diego, CA 92103

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1306456165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 MISSION CENTER CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081320",
            "telephone_number": "619-880-5334",
            "fax_number": "619-877-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 MISSION CENTER CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081320",
            "telephone_number": "619-880-5334",
            "fax_number": "619-877-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMA STREET INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "PREMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-285-3259"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NURSE NEXT DOOR SAN DIEGO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NURSE NEXT DOOR SAN DIEGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.