Organization Active NPI

Professional Nurses Homehealth LLC

  • Home Health Agency
  • San Bernardino, CA
National Provider Identifier
1629219902
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROFESSIONAL NURSES HOMEHEALTH LLC
Practice address
2037 N D St Ste 109
San Bernardino, CA 92405-3936
Phone
(909) 518-8469
NPI assigned
Mar 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Miss M Elva Dell Huff, LVN
Title
Operating Manager
Phone
(909) 518-8469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2037 N D St Ste 109
San Bernardino, CA 92405-3936

Mailing address

1740 N Primrose Ave
Rialto, CA 92376-2933

National Provider Directory

National Provider Directory

Locations

2037 N D St
Ste 109
San Bernardino, CA 92405
Phone (909) 518-8469

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1629219902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 N PRIMROSE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923762933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 N D ST STE 109",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053936",
            "telephone_number": "909-518-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL NURSES HOMEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "M ELVA",
        "authorized_official_middle_name": "DELL",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "909-518-8469",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.