Active NPI
Patient Care Home Health Services, Inc
- Home Health Agency
- Chino, CA
National Provider Identifier
1487789012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08312F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.