Organization Active NPI

Peppermint Holdings LLC

Doing business as Interlink Home Health

  • Home Health Agency
  • La Habra, CA
National Provider Identifier
1609159110
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEPPERMINT HOLDINGS LLC
Doing business as
Interlink Home Health
Practice address
2501 La Habra Blvd
Suite 4
La Habra, CA 90631
Phone
(760) 471-0388
Fax
(760) 471-0311
NPI assigned
Sep 21, 2011
Organization subpart
Yes
Parent organization
PEPPERMINT HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Mark Ballif
Title
Manager
Phone
(760) 471-0388

Specialties & licenses 1

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

Addresses

Primary practice location

2501 La Habra Blvd
Suite 4
La Habra, CA 90631

Mailing address

100 E. San Marcos Blvd
Suite 200
San Marcos, CA 92069
Phone (760) 471-0388

Other names 1

  • INTERLINK HOME HEALTH Doing business as

National Provider Directory

National Provider Directory
Part of
Peppermint Holdings LLC

Locations

100 E San Marcos Blvd
Ste 200
San Marcos, CA 92069

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1609159110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E. SAN MARCOS BLVD",
            "address_2": "SUITE 200",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "92069",
            "telephone_number": "760-471-0388",
            "fax_number": "760-471-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 LA HABRA BLVD",
            "address_2": "SUITE 4",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "90631",
            "telephone_number": "760-471-0388",
            "fax_number": "760-471-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPERMINT HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEPPERMINT HOLDINGS LLC",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "BALLIF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-471-0388"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERLINK HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.