Ag Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AG HOME HEALTH

Practice address

12631 Imperial Hwy
BLDG D Suite 126B
Santa Fe Springs, CA 90670

Phone

(562) 362-6008

NPI assigned

May 8, 2023

Last updated

May 8, 2023By 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

Andrew Nelson Vitug

Title

President/Ceo

Phone

(562) 362-6008

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1619667243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 IMPERIAL HWY",
            "address_2": "BLDG D SUITE 126B",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "90670",
            "telephone_number": "562-362-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 IMPERIAL HWY",
            "address_2": "BLDG D SUITE 126B",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "90670",
            "telephone_number": "562-362-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "VITUG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "562-362-6008"
    },
    "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 Santa Fe Springs, CA
• Providers in Santa Fe Springs, 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 May 8, 2023; 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.