Active NPI
Visiting Nurses Senior Home Care
- Point of Service
- Fontana, CA
National Provider Identifier
1366685299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Legal business name
- VISITING NURSES SENIOR HOME CARE
- Doing business as
- Visiting Nurses Senior Home Care
- Practice address
- 13683 Cabrillo CT
Fontana, CA 92336-3451 - Phone
- (909) 240-4120
- NPI assigned
- Apr 8, 2009
- Last updated
- Apr 8, 2009
- 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
- Mr. Marcus Edward Clark
- Title
- Individual Owner
- Phone
- (909) 240-4120
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | NU | Primary | |
| Home Health Registered Nurse | 163WH0200X | NU |
Addresses
Primary practice location
13683 Cabrillo CT
Fontana, CA 92336-3451
Mailing address
13683 Cabrillo CT
Fontana, CA 92336-3451
Phone (909) 240-4120
Other names 1
- Visiting Nurses Senior Home Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239148800000",
"number": "1366685299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13683 CABRILLO CT",
"city": "FONTANA",
"state": "CA",
"postal_code": "923363451",
"telephone_number": "909-240-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13683 CABRILLO CT",
"city": "FONTANA",
"state": "CA",
"postal_code": "923363451",
"telephone_number": "909-240-4120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISITING NURSES SENIOR HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-08",
"last_updated": "2009-04-08",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "MARCUS",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "INDIVIDUAL OWNER",
"authorized_official_telephone_number": "909-240-4120",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Visiting Nurses Senior Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fontana, CA
- Miranda Marie Viramontes
- Sandra Patricia Viramontes, MS MFT
- Vision Express Optometry
- Visionary Retail Management Ca Inc (Visionworks)
- Visionary Retail Management Ca Inc (Visionworks)
- Vista Care Pharmacy Inc (Vista Care Pharmacy)
- Vituity Physician Services PC
- VK Medical Group Inc
- Stacy Vo, DO
- Trung Duong Vo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.