Active NPI
Pristine Home Care
Doing business as Lifeline Private Duty
- Nursing Care Agency
- Arcadia, CA
National Provider Identifier
1326265869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- PRISTINE HOME CARE
- Doing business as
- Lifeline Private Duty
- Practice address
- 30 E Santa Clara St Ste H
Arcadia, CA 91006-3235 - Phone
- (626) 447-9603
- Fax
- (626) 447-9657
- NPI assigned
- Apr 19, 2007
- Last updated
- Aug 22, 2020
- 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
- Mrs. Deborah J Hatch, RN
- Title
- Director of PT Care Services
- Phone
- (626) 447-9603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | CA | Primary |
Addresses
Primary practice location
30 E Santa Clara St Ste H
Arcadia, CA 91006-3235
Mailing address
30 E Santa Clara St Ste H
Arcadia, CA 91006-3235
Phone (626) 447-9603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08128F | Medicaid | CA |
Other names 1
- LIFELINE PRIVATE DUTY
National Provider Directory
National Provider Directory- Tax ID family
- Lifeline at Home Private Duty
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lifeline at Home Private Duty
- Nursing Care Agency
- Arcadia, CA
- NPI 1538294350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1326265869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E SANTA CLARA ST STE H",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063235",
"telephone_number": "626-447-9603",
"fax_number": "626-447-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E SANTA CLARA ST STE H",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063235",
"telephone_number": "626-447-9603",
"fax_number": "626-447-9657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRISTINE HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HATCH",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR OF PT CARE SERVICES",
"authorized_official_telephone_number": "626-447-9603",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA08128F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LIFELINE PRIVATE DUTY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Arcadia, CA
- Joshua Daniel Price
- Natasia Primicias
- Primrose Medical Group Inc.
- Priority Health Care Inc (The Arcadian Retirement Center)
- Pristine Health Care Inc (Lifeline at Home Private Duty)
- Pristine Home Health Providers Inc. (Lifeline@Home)
- PSM Healthcare Inc (Arcadia Center Pharmacy)
- Pamela Pudewa, LMFT
- Lorie Lee Purdy, NURSE PRACTITIONER
- M. Lorraine Purino, M.D.
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.