Organization Active NPI

Sweetgrace Home Health Services, LLC

  • Home Health Agency
  • Fontana, CA
National Provider Identifier
1467865352
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000909 Issued in CA
Legal business name
SWEETGRACE HOME HEALTH SERVICES, LLC
Practice address
6101 Cherry Ave
Suite 206
Fontana, CA 92336-5362
Phone
(909) 463-7400
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Miss Loudes R Garcia, REGISTERED NURSE
Title
Ceo
Phone
(909) 463-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000909 CA Primary

Addresses

Primary practice location

6101 Cherry Ave
Suite 206
Fontana, CA 92336-5362

Mailing address

6101 Cherry Ave
Suite 206
Fontana, CA 92336-5362
Phone (909) 463-7400

Other identifiers 1

IdentifierTypeStateIssuer
1245435957MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Dba Grace Home Health Nursing Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1467865352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 CHERRY AVE",
            "address_2": "SUITE 206",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365362",
            "telephone_number": "909-463-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 CHERRY AVE",
            "address_2": "SUITE 206",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365362",
            "telephone_number": "909-463-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETGRACE HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LOUDES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-463-7400",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245435957",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.