Organization Active NPI

Advocare Home Health, Corp.

  • Home Health Agency
  • Garden Grove, CA
National Provider Identifier
1609618214
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADVOCARE HOME HEALTH, CORP.
Practice address
12377 Lewis St Ste 104
Garden Grove, CA 92840-4691
Phone
(657) 427-6220
Fax
(657) 427-6227
NPI assigned
Jun 12, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Donald Pagaduan
Title
Ceo/Cfo/Secretary
Phone
(657) 427-6220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12377 Lewis St Ste 104
Garden Grove, CA 92840-4691

Mailing address

12377 Lewis St Ste 104
Garden Grove, CA 92840-4691
Phone (657) 427-6220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1609618214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 LEWIS ST STE 104",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404691",
            "telephone_number": "657-427-6220",
            "fax_number": "657-427-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12377 LEWIS ST STE 104",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404691",
            "telephone_number": "657-427-6220",
            "fax_number": "657-427-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE HOME HEALTH, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "PAGADUAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO/CFO/SECRETARY",
        "authorized_official_telephone_number": "657-427-6220"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.