Blueray Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLUERAY HOME HEALTH, INC.

Practice address

4220 E Los Angeles Ave Ste 205
Simi Valley, CA 93063-6713

Phone

(805) 232-7198

Fax

(805) 507-0184

NPI assigned

Jul 10, 2019

Last updated

Jul 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Micheal Vicente

Title

Ceo/President

Phone

(805) 232-7198

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1528610607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 E LOS ANGELES AVE STE 205",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930636713",
            "telephone_number": "805-232-7198",
            "fax_number": "805-507-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 E LOS ANGELES AVE STE 205",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930636713",
            "telephone_number": "805-232-7198",
            "fax_number": "805-507-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUERAY HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "VICENTE",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "805-232-7198"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Simi Valley, CA
• Providers in Simi Valley, 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 Jul 10, 2019; 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.