Organization Active NPI

MBC Home Health Services, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1629124557
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000091 Issued in CA
Legal business name
MBC HOME HEALTH SERVICES, INC.
Practice address
2777 West Broadway
Los Angeles, CA 90041-1038
Phone
(323) 254-5399
Fax
(323) 254-5624
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Mr. Reynaldo C Dizon
Title
President
Phone
(323) 254-5399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000091 CA Primary

Addresses

Primary practice location

2777 West Broadway
Los Angeles, CA 90041-1038

Mailing address

2777 West Broadway
Los Angeles, CA 90041-1038
Phone (323) 254-5399

National Provider Directory

National Provider Directory

Locations

2777 W Broadway
Los Angeles, CA 90041
Phone (323) 254-5399

4448 Eagle Rock Blvd
Ste F
Los Angeles, CA 90041
Phone (877) 247-6797

1648 Wilcox Ave
Ste B
Los Angeles, CA 90028
Phone (323) 254-5399

7430 Coldwater Canyon Ave
Ste A
North Hollywood, CA 91605
Phone (323) 254-5399

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1629124557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 WEST BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411038",
            "telephone_number": "323-254-5399",
            "fax_number": "323-254-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 WEST BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411038",
            "telephone_number": "323-254-5399",
            "fax_number": "323-254-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBC HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-254-5399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.