Peach Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEACH HOME HEALTH INC

Practice address

17215 Studebaker Road
Suite 175
Cerritos, CA 90703-2523

Phone

(714) 931-9586

NPI assigned

Jul 28, 2010

Organization subpart

No

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

Authorized official

Name

Enrique Macaraeg, RN

Title

Pres./Ceo

Phone

(714) 931-9586

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1609180934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER ROAD",
            "address_2": "SUITE 175",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER ROAD",
            "address_2": "SUITE 175",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032523",
            "telephone_number": "714-931-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "MACARAEG",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRES./CEO",
        "authorized_official_telephone_number": "714-931-9586",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Cerritos, CA
• Providers in Cerritos, 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 28, 2010; 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.