Organization Active NPI

Philemon Healthcare Corporation

  • Adult Day Care Clinic/Center
  • Cypress, CA
National Provider Identifier
1528194297
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PHILEMON HEALTHCARE CORPORATION
Doing business as
SARANG ADULT DAY HEALTH CARE
Practice address
5171 Lincoln Ave
Cypress, CA 90630-2906
Phone
(714) 236-0852
Fax
(714) 236-0021
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hyong J Kim, M.D.
Title
Administrator
Phone
(714) 236-0852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

5171 Lincoln Ave
Cypress, CA 90630-2906

Mailing address

5171 Lincoln Ave
Cypress, CA 90630-2906
Phone (714) 236-0852

Other names 1

  • SARANG ADULT DAY HEALTH CARE Doing business as

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1009092Sarang Adult Day Health Care Center5171 Lincoln Ave, Cypress, CA 90630Certificate of waiverFeb 5, 2027

National Provider Directory

National Provider Directory

Locations

5171 Lincoln Ave
Cypress, CA 90630
Phone (714) 236-0852

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528194297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 LINCOLN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302906",
            "telephone_number": "714-236-0852",
            "fax_number": "714-236-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 LINCOLN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302906",
            "telephone_number": "714-236-0852",
            "fax_number": "714-236-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILEMON HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYONG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-236-0852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARANG ADULT DAY HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.