Organization Active NPI

My Home

  • Home Health Agency
  • Vallejo, CA
National Provider Identifier
1629476882
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MY HOME
Practice address
441 N Camino Alto
Vallejo, CA 94590-3313
Phone
(510) 754-9523
Fax
(510) 868-8751
NPI assigned
Dec 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Leonardo M Martinez
Title
Ceo
Phone
(510) 754-9523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

441 N Camino Alto
Vallejo, CA 94590-3313

Mailing address

441 N Camino Alto
Vallejo, CA 94590-3313
Phone (510) 754-9523

National Provider Directory

National Provider Directory
Tax ID family
My Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1629476882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N CAMINO ALTO",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903313",
            "telephone_number": "510-754-9523",
            "fax_number": "510-868-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N CAMINO ALTO",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903313",
            "telephone_number": "510-754-9523",
            "fax_number": "510-868-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-754-9523"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.