De Porres Healthcare Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DE PORRES HEALTHCARE CORPORATION

Practice address

1130 N El Dorado St
Stockton, CA 95202-1332

Phone

(209) 981-6568

Fax

(209) 937-6408

NPI assigned

Aug 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Elvira D Miller, PHD

Title

President

Phone

(209) 981-6568

Specialties & licenses 1

Addresses

Other names 1

• De Porres Home Healthcare Services Doing business as

Locations

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1376977462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021332",
            "telephone_number": "209-981-6568",
            "fax_number": "209-937-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021332",
            "telephone_number": "209-981-6568",
            "fax_number": "209-937-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE PORRES HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ELVIRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-981-6568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "De Porres Home Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Smirna De Leon
• Tammi Suzanne De Long, AOD
• Crystal De Los Reyes
• Estefany De Luna
• Anaclara Vieira De Matos
• Julissa De Santiago
• Patricia De Santiago
• Jceyonna R De Soto
• Indra De, MD, PHD
• Kathryn E Deamer

• Home Health Agency in Stockton, CA
• Providers in Stockton, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.