Organization Active NPI

Hoag at Home LLC

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1386223428
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOAG AT HOME LLC
Practice address
4041 Macarthur Blvd Ste 400
Newport Beach, CA 92660-2554
Phone
(949) 736-6100
NPI assigned
Apr 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Robert Decker, PTNPI 1275112310
Title
Dorector
Phone
(949) 463-1510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4041 Macarthur Blvd Ste 400
Newport Beach, CA 92660-2554

Mailing address

4041 Macarthur Blvd Ste 400
Newport Beach, CA 92660-2554

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1386223428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 MACARTHUR BLVD STE 400",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 MACARTHUR BLVD STE 400",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602554",
            "telephone_number": "949-736-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOAG AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DORECTOR",
        "authorized_official_telephone_number": "949-463-1510",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.