Organization Active NPI

Double Ace Home Health Services, Inc.

  • Home Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1326117250
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
240000879 Issued in CA
Legal business name
DOUBLE ACE HOME HEALTH SERVICES, INC.
Practice address
8459 White Oak Ave
#104
Rancho Cucamonga, CA 91730-3872
Phone
(909) 476-9922
Fax
(909) 476-0033
NPI assigned
Nov 7, 2006
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Mr. Richard Miyake
Title
Administrator
Phone
(909) 476-9922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 240000879 CA Primary

Addresses

Primary practice location

8459 White Oak Ave
#104
Rancho Cucamonga, CA 91730-3872

Mailing address

8459 White Oak Ave
Suite 104
Rancho Cucamonga, CA 91730-3872
Phone (909) 476-9922

National Provider Directory

National Provider Directory

Locations

8459 White Oak Ave
Ste 104
Rancho Cucamonga, CA 91730
Phone (909) 476-9922

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1326117250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8459 WHITE OAK AVE",
            "address_2": "SUITE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303872",
            "telephone_number": "909-476-9922",
            "fax_number": "909-476-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8459 WHITE OAK AVE",
            "address_2": "#104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303872",
            "telephone_number": "909-476-9922",
            "fax_number": "909-476-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE ACE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "MIYAKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-476-9922",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.