Organization Active NPI

Western Health Resources

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1477538858
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
080000448 Issued in CA
Legal business name
WESTERN HEALTH RESOURCES
Practice address
591 Camino de la Reina
Suite #1010 B
San Diego, CA 92108-3102
Phone
(619) 293-6820
Fax
(619) 692-3121
NPI assigned
Dec 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Mr. William G Wiedemann, CPA
Title
Controller
Phone
(916) 781-4772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 080000448 CA Primary

Addresses

Primary practice location

591 Camino de la Reina
Suite #1010 B
San Diego, CA 92108-3102

Mailing address

2100 Douglas Blvd
Roseville, CA 95661-3804
Phone (916) 780-2480

Other identifiers 1

IdentifierTypeStateIssuer
HHA70271FMedicaidCA

Other names 1

  • Western Health Private HomeCare Other name

National Provider Directory

National Provider Directory
Tax ID family
Western Health Private Homecare28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1477538858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 DOUGLAS BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613804",
            "telephone_number": "916-780-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 CAMINO DE LA REINA",
            "address_2": "SUITE #1010 B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083102",
            "telephone_number": "619-293-6820",
            "fax_number": "619-692-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN HEALTH RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "WIEDEMANN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "916-781-4772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "080000448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA70271F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Health Private HomeCare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.