Antelope Valley Epsdt & Waivers Agency, Corp

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP

Practice address

1431 W Rosamond Blvd
#14D
Rosamond, CA 93560-7428

Phone

(661) 952-9512

NPI assigned

Jul 25, 2014

Last updated

Jul 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie Schnabel

Title

President

Phone

(661) 952-9512

Specialties & licenses 1

Addresses

Other names 1

• asap epsdt & waivers agency, corp Former legal business name

Tax ID family

Antelope Valley Epsdt Waivers Agency Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Antelope Valley Epsdt & Waivers Agency, Corp

  • Home Health Agency
  • Rosamond, CA
  • NPI 1265787568
  NPD tax ID

Locations

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1346658002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25379 WAYNE MILLS PL",
            "address_2": "#134",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551827",
            "telephone_number": "661-952-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 W ROSAMOND BLVD",
            "address_2": "#14D",
            "city": "ROSAMOND",
            "state": "CA",
            "postal_code": "935607428",
            "telephone_number": "661-952-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "SCHNABEL",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-952-9512",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "asap epsdt & waivers agency, corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Steven Abueed, PHARMD.
• Adora Okam DDS Inc
• Adventist Health Physicians Network
• American Chronicare Inc (Antelope Valley Pharmacy)
• Antelope Valley Epsdt & Waivers Agency, Corp
• Justin L. Arnold
• Av Medical Transportation
• Heather Renee Baker
• Nancy R Barragan
• Karim Botros

• Child Intellectual and/or Developmental Disabilities Respite Care in Rosamond, CA
• Providers in Rosamond, CA by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.