Organization Active NPI

Professional Home Health Agency

  • Home Health Agency
  • Santa Clara, CA
National Provider Identifier
1336463306
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROFESSIONAL HOME HEALTH AGENCY
Practice address
3140 De la Cruz Blvd Ste 200
Santa Clara, CA 95054-2444
Phone
(408) 855-9200
Fax
(408) 855-9210
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Mrs. Ruth Arciaga
Title
President
Phone
(408) 209-6390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3140 De la Cruz Blvd Ste 200
Santa Clara, CA 95054-2444

Mailing address

3140 De la Cruz Blvd.
Ste. 200
Santa Clara, CA 95054-2406
Phone (408) 855-9200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1336463306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 DE LA CRUZ BLVD.",
            "address_2": "STE. 200",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542406",
            "telephone_number": "408-855-9200",
            "fax_number": "408-855-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 DE LA CRUZ BLVD STE 200",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542444",
            "telephone_number": "408-855-9200",
            "fax_number": "408-855-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "ARCIAGA",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-209-6390",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.