Organization Active NPI

Patient Care Home Health Services, Inc

  • Home Health Agency
  • Chino, CA
National Provider Identifier
1487789012
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PATIENT CARE HOME HEALTH SERVICES, INC
Practice address
12474 Central Ave Ste B
Chino, CA 91710-2673
Phone
(909) 590-4838
Fax
(909) 590-4826
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Mr. Moreno Probadora De la Rosa Jr.
Title
President
Phone
(909) 590-4838

Specialties & licenses 1

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

Addresses

Primary practice location

12474 Central Ave Ste B
Chino, CA 91710-2673

Mailing address

12474 Central Ave Ste B
Chino, CA 91710-2673
Phone (909) 590-4838

Other identifiers 1

IdentifierTypeStateIssuer
HHA08312FMedicaidCA

National Provider Directory

National Provider Directory

Locations

12474 Central Ave
#B
Chino, CA 91710
Phone (909) 590-4838

12564 Central Ave
Ste A
Chino, CA 91710
Phone (909) 590-4834

12474 Central Ave
Ste B
Chino, CA 91710
Phone (909) 590-4838

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1487789012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12474 CENTRAL AVE STE B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102673",
            "telephone_number": "909-590-4838",
            "fax_number": "909-590-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12474 CENTRAL AVE STE B",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102673",
            "telephone_number": "909-590-4838",
            "fax_number": "909-590-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CARE HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "MORENO",
        "authorized_official_middle_name": "PROBADORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-590-4838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08312F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.