Active NPI
Shova Healthcare Vna, LLC
- Home Health Agency
- Sun City, CA
National Provider Identifier
1396747762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 250000225
- Legal business name
- SHOVA HEALTHCARE VNA, LLC
- Practice address
- 27851 Bradley Rd
Suite 125
Sun City, CA 92586-2286 - Phone
- (951) 675-4829
- Fax
- (951) 679-3944
- NPI assigned
- Aug 15, 2005
- 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
- Dr. Kali P Chaudhuri, MD
- Title
- Owner/President
- Phone
- (951) 791-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 250000225 | CA | Primary |
Addresses
Primary practice location
27851 Bradley Rd
Suite 125
Sun City, CA 92586-2286
Mailing address
1545 W Florida Ave
Hemet, CA 92543-3814
Phone (951) 791-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA07774F | Medicaid | CA |
Other names 1
- Inland Empire Home Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471305600000",
"number": "1396747762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 W FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925433814",
"telephone_number": "951-791-1111",
"fax_number": "951-925-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27851 BRADLEY RD",
"address_2": "SUITE 125",
"city": "SUN CITY",
"state": "CA",
"postal_code": "925862286",
"telephone_number": "951-675-4829",
"fax_number": "951-679-3944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOVA HEALTHCARE VNA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-15",
"last_updated": "2016-08-16",
"status": "A",
"authorized_official_last_name": "CHAUDHURI",
"authorized_official_first_name": "KALI",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "951-791-1111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "250000225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA07774F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Inland Empire Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sun City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.