Organization Active NPI

Interim Assisted Care of the East Bay

  • Home Health Agency
  • Walnut Creek, CA
National Provider Identifier
1366620510
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INTERIM ASSISTED CARE OF THE EAST BAY
Practice address
1717 N California Blvd Ste 3a
Walnut Creek, CA 94596-4132
Phone
(925) 944-5779
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Charles Baker
Title
Owner
Phone
(661) 395-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1717 N California Blvd Ste 3a
Walnut Creek, CA 94596-4132

Mailing address

1717 N California Blvd Ste 3a
Walnut Creek, CA 94596-4132
Phone (925) 944-5779

National Provider Directory

National Provider Directory

Locations

1717 N California Blvd
Ste 3A
Walnut Creek, CA 94596
Phone (925) 944-5779

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1366620510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N CALIFORNIA BLVD STE 3A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964132",
            "telephone_number": "925-944-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N CALIFORNIA BLVD STE 3A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964132",
            "telephone_number": "925-944-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM ASSISTED CARE OF THE EAST BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-395-1700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.