Isocare Medical Extenders Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001053 Issued in CA

Legal business name

ISOCARE MEDICAL EXTENDERS SERVICES INC.

Practice address

13527 Hawthorne Blvd
Hawthorne, CA 90250

Phone

(310) 644-5151

Fax

(310) 644-5590

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John U Que, RN, MBA

Title

Administrator

Phone

(310) 644-5151

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1508927617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13527 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-644-5151",
            "fax_number": "310-644-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13527 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-644-5151",
            "fax_number": "310-644-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISOCARE MEDICAL EXTENDERS SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "QUE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-644-5151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Isocare Convalescent Hospital of Monte Vista Inc.
• Isocare Medical Extenders Services in
• Henrietha Ugochi Iwobi
• Angela Iwuala
• Jack Shabanian, D.D.S. Inc.
• Lee Alvin Jackson
• Shawana Jackson

• Home Health Agency in Hawthorne, CA
• Providers in Hawthorne, 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 Jun 6, 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.