NPIMap

Organization Active NPI

Pristine Home Health Providers Inc.

  • Home Health Agency
  • Arcadia, CA
National Provider Identifier
1316907751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRISTINE HOME HEALTH PROVIDERS INC.
Doing business as
LIFELINE@HOME
Practice address
30 E Santa Clara St
Suite H
Arcadia, CA 91006-3235
Phone
(626) 447-2273
Fax
(626) 447-2270
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Rosario Valenciano
Title
Administrator
Phone
(626) 447-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

30 E Santa Clara St
Suite H
Arcadia, CA 91006-3235

Mailing address

30 E Santa Clara St
Suite H
Arcadia, CA 91006-3235
Phone (626) 447-2273

Other identifiers 1

IdentifierTypeStateIssuer
HHA08128FOtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • LIFELINE@HOME Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316907751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E SANTA CLARA ST",
            "address_2": "SUITE H",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063235",
            "telephone_number": "626-447-2273",
            "fax_number": "626-447-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E SANTA CLARA ST",
            "address_2": "SUITE H",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063235",
            "telephone_number": "626-447-2273",
            "fax_number": "626-447-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE HOME HEALTH PROVIDERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALENCIANO",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-447-2273",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "HHA08128F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFELINE@HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.