Active NPI
Icare Home Health Agency, LLC
- Home Health Agency
- Pinole, CA
National Provider Identifier
1396044145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550001489
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.