Organization Active NPI

Homecare Service Specialist Inc

  • Durable Medical Equipment & Medical Supplies
  • Glendale, CA
National Provider Identifier
1386638104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOMECARE SERVICE SPECIALIST INC
Practice address
328 N Orange St
Glendale, CA 91203-2206
Phone
(818) 265-0424
Fax
(818) 265-0420
NPI assigned
Sep 8, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Felito Flores De Veyra
Title
President
Phone
(818) 265-0424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

328 N Orange St
Glendale, CA 91203-2206

Mailing address

328 N Orange St
Glendale, CA 91203-2206
Phone (818) 265-0424

Other identifiers 1

IdentifierTypeStateIssuer
DME01593FMedicaidCA

National Provider Directory

National Provider Directory

Locations

328 N Orange St
Glendale, CA 91203
Phone (818) 265-0424

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386638104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 N ORANGE ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032206",
            "telephone_number": "818-265-0424",
            "fax_number": "818-265-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N ORANGE ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032206",
            "telephone_number": "818-265-0424",
            "fax_number": "818-265-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE SERVICE SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE VEYRA",
        "authorized_official_first_name": "FELITO",
        "authorized_official_middle_name": "FLORES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-265-0424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01593F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.