NPIMap

Organization Active NPI

Avid in-Home Respite Services

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Escondido, CA
National Provider Identifier
1548724321
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
AVID IN-HOME RESPITE SERVICES
Practice address
562 W Grand Ave
Escondido, CA 92025-2502
Phone
(760) 498-4931
Fax
(442) 999-5740
NPI assigned
Jan 25, 2019
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Lorena Maharaj
Title
Ceo
Phone
(760) 498-4931

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X NU
Child Mental Illness Respite Care 385HR2055X NU
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU Primary
Child Physical Disabilities Respite Care 385HR2065X NU

Addresses

Primary practice location

562 W Grand Ave
Escondido, CA 92025-2502

Mailing address

562 W Grand Ave
Escondido, CA 92025-2502
Phone (760) 498-4931

National Provider Directory

National Provider Directory

Locations

562 W Grand Ave
Escondido, CA 92025
Phone (760) 691-9622

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1548724321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 W GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252502",
            "telephone_number": "760-498-4931",
            "fax_number": "442-999-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 W GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252502",
            "telephone_number": "760-498-4931",
            "fax_number": "442-999-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVID IN-HOME RESPITE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "MAHARAJ",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-498-4931"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.