A and M Home Care Villa Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197607141 Issued in CA

Legal business name

A AND M HOME CARE VILLA INC

Practice address

6248 West Avenue J-11
Lancaster, CA 93536-1716

Phone

(661) 943-0021

Fax

(661) 943-9877

NPI assigned

Jun 9, 2008

Last updated

Jun 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Willie Esau Harris, LVNNPI 1962661330

Title

Administrator

Phone

(661) 943-0021

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Willie Esau Harris, LVN

  • Assisted Living Facility
  • Lancaster, CA
  • NPI 1962661330
  NPD (past) Authorized official

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1619137155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 2348",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935392348",
            "telephone_number": "661-943-0021",
            "fax_number": "661-943-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6248 WEST AVENUE J-11",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935361716",
            "telephone_number": "661-943-0021",
            "fax_number": "661-943-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A AND M HOME CARE VILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "ESAU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-943-0021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197607141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 15TH Street Surgical Center, Inc.
• 2044 West Care Manor
• 2ND Wave Industries (2nd Wave Recovery)
• 2ND Wave Industries (2nd Wave Recovery)
• A Better Concept Family Counseling Professional Corporation
• A Caring Mind, Inc
• A Home for Mom & Dad, Inc
• A Homecare With Love and Compassion Inc. (AV Home With Love & Care)
• A New Beginning for Me

• Assisted Living Facility in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.