Organization Active NPI

C & F Home Health Agency Inc.

  • Home Health Agency
  • Montclair, CA
National Provider Identifier
1407916786
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
C2889699 Issued in CA
Legal business name
C & F HOME HEALTH AGENCY INC.
Practice address
4959 Palo Verde St
103A-5
Montclair, CA 91763-2331
Phone
(909) 626-9575
Fax
(909) 626-9575
NPI assigned
Dec 9, 2006
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
Mrs. Gricelda Cecilia Campos, REGISTERED NURSE
Title
Presindent Administrator DPCS
Phone
(909) 952-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X C2889699 CA Primary

Addresses

Primary practice location

4959 Palo Verde St
103A-5
Montclair, CA 91763-2331

Mailing address

4959 Palo Verde St
103A-5
Montclair, CA 91763-2331
Phone (909) 626-9575

Other names 1

  • C & F Home Health Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407916786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "103A-5",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632331",
            "telephone_number": "909-626-9575",
            "fax_number": "909-626-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "103A-5",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632331",
            "telephone_number": "909-626-9575",
            "fax_number": "909-626-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & F HOME HEALTH AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "GRICELDA",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "PRESINDENT ADMINISTRATOR DPCS",
        "authorized_official_telephone_number": "909-952-0990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "C2889699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C & F Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montclair, 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.