Professional Health Care Provider, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROFESSIONAL HEALTH CARE PROVIDER, INC.

Practice address

23443 Golden Springs Dr
Diamond Bar, CA 91765-2030

Phone

(909) 860-3080

Fax

(909) 860-3008

NPI assigned

Jan 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Fe Cipres Dorado, REGISTERED NURSE

Title

Administrator

Phone

(909) 860-3080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417936113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23443 GOLDEN SPRINGS DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652030",
            "telephone_number": "909-860-3080",
            "fax_number": "909-860-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23443 GOLDEN SPRINGS DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652030",
            "telephone_number": "909-860-3080",
            "fax_number": "909-860-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH CARE PROVIDER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORADO",
        "authorized_official_first_name": "FE",
        "authorized_official_middle_name": "CIPRES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-860-3080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Diamond Bar, CA
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• 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.