Organization Active NPI

Telecare Cwic MB

  • Nursing Care Agency
  • Yucca Valley, CA
National Provider Identifier
1336573682
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
VN135730 Issued in CA
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

Updated by the provider on Aug 22, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.