Active NPI
Telecare Cwic MB
- Nursing Care Agency
- Yucca Valley, CA
National Provider Identifier
1336573682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- VN135730
- Legal business name
- TELECARE CWIC MB
- Practice address
- 55475 Santa Fe TRL
Suite 100
Yucca Valley, CA 92284-3117 - Phone
- (855) 365-6558
- NPI assigned
- Aug 22, 2013
- 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. Cindy Marie Haiston, LVN
- Title
- LVN
- Phone
- (760) 409-8571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | VN135730 | CA | Primary |
Addresses
Primary practice location
55475 Santa Fe TRL
Suite 100
Yucca Valley, CA 92284-3117
Mailing address
PO Box 291
Twentynine Palms, CA 92277-0291
Phone (760) 409-8571
National Provider Directory
National Provider DirectoryLocations
55475 Santa Fe Trl
Ste 100
Yucca Valley, CA 92284
Phone (713) 454-3739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377129600000",
"number": "1336573682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 291",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "922770291",
"telephone_number": "760-409-8571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55475 SANTA FE TRL",
"address_2": "SUITE 100",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922843117",
"telephone_number": "855-365-6558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELECARE CWIC MB",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-22",
"last_updated": "2013-08-22",
"status": "A",
"authorized_official_last_name": "HAISTON",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "LVN",
"authorized_official_telephone_number": "760-409-8571",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "CA",
"license": "VN135730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.