Organization Active NPI

Amberstone Home Care Inc.

  • In Home Supportive Care Agency
  • San Diego, CA
National Provider Identifier
1619636511
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AMBERSTONE HOME CARE INC.
Practice address
16750 Coyote Bush Dr Unit 90
San Diego, CA 92127-2640
Phone
(808) 373-0775
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Mylene Ruiz
Title
Owner/President/Ceo
Phone
(808) 373-0775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

16750 Coyote Bush Dr Unit 90
San Diego, CA 92127-2640

Mailing address

16750 Coyote Bush Dr Unit 90
San Diego, CA 92127-2640
Phone (808) 373-0775

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1619636511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16750 COYOTE BUSH DR UNIT 90",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272640",
            "telephone_number": "808-373-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16750 COYOTE BUSH DR UNIT 90",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272640",
            "telephone_number": "808-373-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBERSTONE HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MYLENE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/CEO",
        "authorized_official_telephone_number": "808-373-0775"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.