NPIMap

Organization Active NPI

St. Joseph Health System Home Care Services LLC

Doing business as Providence Home Infusion la County

  • Home Infusion Therapy Pharmacy
  • Burbank, CA
National Provider Identifier
1518569219
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC
Doing business as
Providence Home Infusion la County
Providence Infusion and Pharmacy Services-Burbank
Practice address
2703 N Ontario St Ste 120&130
Burbank, CA 91504-2508
Phone
(818) 847-6558
NPI assigned
Nov 9, 2020
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Donald Wayne Anderson Jr.
Title
Assistant Secretary for Enrollment
Phone
(425) 358-9786

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Home Infusion Therapy Pharmacy 3336H0001X Primary
Specialty Pharmacy 3336S0011X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2703 N Ontario St Ste 120&130
Burbank, CA 91504-2508

Mailing address

2703 N Ontario St Ste 120&130
Burbank, CA 91504-2508
Phone (818) 847-6558

Other names 2

  • PROVIDENCE HOME INFUSION LA COUNTY Doing business as
  • PROVIDENCE INFUSION AND PHARMACY SERVICES-BURBANK Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210816003666 CA Part B Supplier - Pharmacy 9739276866 Practice locations: Burbank, CA
O20211216001336 CA DME Supplier - Pharmacy 9739276866 Practice locations: Burbank, CA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Providence Home Infusion la County2703 N Ontario St, Burbank, CA 91504-2509(818) 847-6558 Immunosuppressive Drugs|Infusion Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
St Joseph Health System Home Care Services LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

200 W Ctr St Promenade
#100A
Anaheim, CA 92805
Phone (714) 712-9500

200 W Ctr St Promenade
Ste 100A
Anaheim, CA 92805
Phone (714) 287-2661

2703 N Ontario St
Ste 120130
Burbank, CA 91504
Phone (657) 217-1279

2703 N Ontario St
Unit 120
Burbank, CA 91504
Phone (818) 847-6558

3187 Red Hill Ave
Ste 230A
Costa Mesa, CA 92626
Phone (714) 975-8011

1845 W Orangewood Ave
Ste 100
Orange, CA 92868
Phone (714) 712-9559

8650 Vineyard Ave
Ste 516
Rancho Cucamonga, CA 91730
Phone (909) 527-4392

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Providence Home Health High DesertHesperia, CA, CCN 059315 Home health agency Other Nov 10, 2016
Providence Hospice Orange CountyAnaheim, CA, CCN 051659 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 19, 2015

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1518569219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N ONTARIO ST STE 120&130",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042508",
            "telephone_number": "818-847-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 N ONTARIO ST STE 120&130",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042508",
            "telephone_number": "818-847-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY FOR ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE HOME INFUSION LA COUNTY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROVIDENCE INFUSION AND PHARMACY SERVICES-BURBANK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.