Organization Active NPI

Grapevine Home Health Services, Inc.

  • Home Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1548373467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E00000X Issued in CA
Legal business name
GRAPEVINE HOME HEALTH SERVICES, INC.
Practice address
8350 Archibald Ave
Suite 211
Rancho Cucamonga, CA 91730-3669
Phone
(909) 483-6505
Fax
(909) 483-6503
NPI assigned
Aug 16, 2006
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
Mrs. Lolita T Cunanan, R.N.
Title
Director Patient Care Services
Phone
(909) 483-6505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 251E00000X CA Primary

Addresses

Primary practice location

8350 Archibald Ave
Suite 211
Rancho Cucamonga, CA 91730-3669

Mailing address

8350 Archibald Ave
Suite 211
Rancho Cucamonga, CA 91730-3669
Phone (909) 483-6505

National Provider Directory

National Provider Directory

Locations

8350 Archibald Ave
Ste 211
Rancho Cucamonga, CA 91730
Phone (909) 483-6505

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548373467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 ARCHIBALD AVE",
            "address_2": "SUITE 211",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303669",
            "telephone_number": "909-483-6505",
            "fax_number": "909-483-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 ARCHIBALD AVE",
            "address_2": "SUITE 211",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303669",
            "telephone_number": "909-483-6505",
            "fax_number": "909-483-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUNANAN",
        "authorized_official_first_name": "LOLITA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR PATIENT CARE SERVICES",
        "authorized_official_telephone_number": "909-483-6505",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.