Organization Active NPI

Amethyst Care Home Health

  • Home Health Agency
  • Lake Elsinore, CA
National Provider Identifier
1356117618
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMETHYST CARE HOME HEALTH
Practice address
29103 Cosmos
Lake Elsinore, CA 92530-9151
Phone
(951) 237-9423
Fax
(951) 639-6086
NPI assigned
Nov 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Mrs. Lorna Vergara, NURSE
Title
Owner/Director of Patient Care SRVC
Phone
(951) 237-9423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

29103 Cosmos
Lake Elsinore, CA 92530-9151

Mailing address

29103 Cosmos
Lake Elsinore, CA 92530-9151
Phone (951) 237-9423

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1356117618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29103 COSMOS",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925309151",
            "telephone_number": "951-237-9423",
            "fax_number": "951-639-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29103 COSMOS",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925309151",
            "telephone_number": "951-237-9423",
            "fax_number": "951-639-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST CARE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "LORNA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF PATIENT CARE SRVC",
        "authorized_official_telephone_number": "951-237-9423",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.