Organization Active NPI

Visiting Nurses Senior Home Care

  • Point of Service
  • Fontana, CA
National Provider Identifier
1366685299
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.