Serv Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000403 Issued in CA

Legal business name

SERV HOME HEALTH, INC.

Practice address

11501 Dublin Blvd
Suite 200
Dublin, CA 94568-2826

Phone

(925) 558-2715

Fax

(925) 558-2716

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Caridad Corpus

Title

President

Phone

(925) 558-2715

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1326223553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 DUBLIN BLVD",
            "address_2": "SUITE 200",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682826",
            "telephone_number": "925-558-2715",
            "fax_number": "925-558-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 DUBLIN BLVD",
            "address_2": "SUITE 200",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682826",
            "telephone_number": "925-558-2715",
            "fax_number": "925-558-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERV HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "CORPUS",
        "authorized_official_first_name": "CARIDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-558-2715",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSE",
            "identifier": "550000403",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.