Organization Active NPI

Icare Home Health Agency, LLC

  • Home Health Agency
  • Pinole, CA
National Provider Identifier
1396044145
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550001489 Issued in CA
Legal business name
ICARE HOME HEALTH AGENCY, LLC
Practice address
2550 Appian Way
Suite 202
Pinole, CA 94564-2256
Phone
(510) 262-0715
Fax
(510) 262-0690
NPI assigned
Mar 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Mrs. Liza Jane V Navarro, RN
Title
Administrator
Phone
(510) 262-0715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550001489 CA Primary

Addresses

Primary practice location

2550 Appian Way
Suite 202
Pinole, CA 94564-2256

Mailing address

2550 Appian Way
Suite 202
Pinole, CA 94564-2256
Phone (510) 262-0715

Other names 1

  • iCARE Home Health Agency Doing business as

National Provider Directory

National Provider Directory

Locations

2550 Appian Way
Ste 202
Pinole, CA 94564
Phone (510) 262-0715

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1396044145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 APPIAN WAY",
            "address_2": "SUITE 202",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642256",
            "telephone_number": "510-262-0715",
            "fax_number": "510-262-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 APPIAN WAY",
            "address_2": "SUITE 202",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642256",
            "telephone_number": "510-262-0715",
            "fax_number": "510-262-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE HOME HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "LIZA JANE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-262-0715",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iCARE Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.