Organization Active NPI

Personalized Home Health Services

  • Home Health Agency
  • Fremont, CA
National Provider Identifier
1457508152
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PERSONALIZED HOME HEALTH SERVICES
Practice address
4060 Handel Common
Fremont, CA 94536-6976
Phone
(650) 288-2860
Fax
(270) 458-5725
NPI assigned
Aug 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Ms. Dale E Evans
Title
Service Coordinator
Phone
(650) 288-2860

Specialties & licenses 1

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

Addresses

Primary practice location

4060 Handel Common
Fremont, CA 94536-6976

Mailing address

6200 Stoneridge Mall Rd
394
Pleasanton, CA 94588-3242
Phone (650) 288-2860

National Provider Directory

National Provider Directory

Locations

6200 Stoneridge Mall Rd
#394
Pleasanton, CA 94588

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1457508152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 STONERIDGE MALL RD",
            "address_2": "394",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883242",
            "telephone_number": "650-288-2860",
            "fax_number": "270-458-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 HANDEL COMMON",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945366976",
            "telephone_number": "650-288-2860",
            "fax_number": "270-458-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SERVICE COORDINATOR",
        "authorized_official_telephone_number": "650-288-2860",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.