Organization Active NPI

Elderwise Homecare Inc.

  • Home Health Agency
  • La Jolla, CA
National Provider Identifier
1467525568
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELDERWISE HOMECARE INC.
Practice address
7486 La Jolla Blvd
#552
La Jolla, CA 92037-5029
Phone
(619) 248-7044
Fax
(619) 434-9573
NPI assigned
Nov 16, 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
Mr. Paris Jon Kantas, BSN
Title
Director of Nursing
Phone
(619) 248-7044

Specialties & licenses 1

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

Addresses

Primary practice location

7486 La Jolla Blvd
#552
La Jolla, CA 92037-5029

Mailing address

7486 La Jolla Blvd
#552
La Jolla, CA 92037-5029
Phone (619) 248-7044

Other names 1

  • Elderrwise Resource Network Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467525568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7486 LA JOLLA BLVD",
            "address_2": "#552",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375029",
            "telephone_number": "619-248-7044",
            "fax_number": "619-434-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7486 LA JOLLA BLVD",
            "address_2": "#552",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375029",
            "telephone_number": "619-248-7044",
            "fax_number": "619-434-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERWISE HOMECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANTAS",
        "authorized_official_first_name": "PARIS",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "619-248-7044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderrwise Resource Network",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in La Jolla, 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.