Organization Active NPI

San Bernardino Home Health Inc

  • Home Health Agency
  • Upland, CA
National Provider Identifier
1508399312
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAN BERNARDINO HOME HEALTH INC
Practice address
600 N Mountain Ave #C202
Upland, CA 91786-4367
Phone
(909) 966-4852
Fax
(310) 878-0326
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Mr. Robert B Young
Title
Ceo/President
Phone
(818) 739-4880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

600 N Mountain Ave #C202
Upland, CA 91786-4367

Mailing address

600 N Mountain Ave #C202
Upland, CA 91786-4367
Phone (909) 966-4852

Other names 1

  • San Bernardino Home Health, Inc . Former legal business name

National Provider Directory

National Provider Directory

Locations

600 N Mountain Ave
Ste C202
Upland, CA 91786
Phone (909) 966-4852

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1508399312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE #C202",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864367",
            "telephone_number": "909-966-4852",
            "fax_number": "310-878-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE #C202",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864367",
            "telephone_number": "909-966-4852",
            "fax_number": "310-878-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-739-4880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Bernardino Home Health, Inc .",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.