Interactive Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

7466955655 Issued in CA

Legal business name

INTERACTIVE CARE AGENCY

Practice address

2050 Southwest Expy Apt 72
San Jose, CA 95126-4641

Phone

(408) 239-9261

NPI assigned

Aug 9, 2010

Organization subpart

No

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

Authorized official

Name

Melvin Johnson

Title

Owner

Phone

(408) 239-9261

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1477868941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 SOUTHWEST EXPY APT 72",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951264641",
            "telephone_number": "408-239-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 SOUTHWEST EXPY APT 72",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951264641",
            "telephone_number": "408-239-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-239-9261"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "7466955655",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "7466955655",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "7466955655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.