Emphacare Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

11549 Issued in CA

Legal business name

EMPHACARE HOME CARE AGENCY LLC

Practice address

7231 Boulder Ave
Ste. # 197
Highland, CA 92346-3313

Phone

(909) 362-0248

Fax

(909) 363-8679

NPI assigned

Jun 19, 2013

Last updated

Jun 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jackyline M Mitchell, C.N.A.

Title

Owner/Manager

Phone

(909) 362-0248

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1497194773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 BOULDER AVE",
            "address_2": "STE. # 197",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463313",
            "telephone_number": "909-362-0248",
            "fax_number": "909-363-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 BOULDER AVE",
            "address_2": "STE. # 197",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463313",
            "telephone_number": "909-362-0248",
            "fax_number": "909-363-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPHACARE HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JACKYLINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "909-362-0248",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.N.A."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "11549",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "11549",
            "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 Jun 19, 2013; 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.