Ac Home Health Agency, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980000735 Issued in CA

Legal business name

AC HOME HEALTH AGENCY, INC

Practice address

5601 W Slauson Ave
Suite 235
Culver City, CA 90230-6582

Phone

(323) 294-5189

Fax

(424) 789-8118

NPI assigned

Apr 14, 2006

Organization subpart

No

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

Authorized official

Name

Amelia Campbell, BSN, RN, MS

Title

Administrator

Phone

(323) 294-5189

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1508820697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 W SLAUSON AVE",
            "address_2": "SUITE 235",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306582",
            "telephone_number": "323-294-5189",
            "fax_number": "424-789-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W SLAUSON AVE",
            "address_2": "SUITE 235",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306582",
            "telephone_number": "323-294-5189",
            "fax_number": "424-789-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC HOME HEALTH AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-294-5189",
        "authorized_official_credential": "BSN, RN, MS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980000735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07433G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Culver City, CA
• Providers in Culver City, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.