St. Peregrine Home Health & Palliative Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST. PEREGRINE HOME HEALTH & PALLIATIVE CARE LLC

Practice address

5612 N Fresno St Ste 109
Fresno, CA 93710-6182

Phone

(949) 664-1564

NPI assigned

Apr 24, 2024

Last updated

Apr 24, 2024By 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

Mr. Florante S Baltazar III, LVN

Title

Ceo

Phone

(949) 664-1564

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1457107153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 N FRESNO ST STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106182",
            "telephone_number": "949-664-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 N FRESNO ST STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106182",
            "telephone_number": "949-664-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PEREGRINE HOME HEALTH & PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "BALTAZAR",
        "authorized_official_first_name": "FLORANTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-664-1564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Fresno, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.