Organization Active NPI

Our Loving Legacy

  • In Home Supportive Care Agency
  • Fontana, CA
National Provider Identifier
1386402105
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OUR LOVING LEGACY
Practice address
7048 Newport Ave
Fontana, CA 92336-1509
Phone
(909) 334-4334
NPI assigned
Mar 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Justin Murty
Title
Owner
Phone
(909) 334-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7048 Newport Ave
Fontana, CA 92336-1509

Mailing address

7048 Newport Ave
Fontana, CA 92336-1509
Phone (909) 334-4334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1386402105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 NEWPORT AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361509",
            "telephone_number": "909-334-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 NEWPORT AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361509",
            "telephone_number": "909-334-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LOVING LEGACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "MURTY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-334-4334"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2024; 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.