Organization Active NPI

Impaq Home Health, Inc

  • Home Health Agency
  • Daly City, CA
National Provider Identifier
1639471998
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
OT6758 Issued in CA
Legal business name
IMPAQ HOME HEALTH, INC
Practice address
333 Gellert Blvd
Suite 116
Daly City, CA 94015-2621
Phone
(415) 548-0000
Fax
(650) 992-2169
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Cesar AradaNPI 1922334234
Title
Ceo- President
Phone
(415) 548-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OT6758 CA Primary

Addresses

Primary practice location

333 Gellert Blvd
Suite 116
Daly City, CA 94015-2621

Mailing address

333 Gellert Blvd
Suite 116
Daly City, CA 94015-2621

National Provider Directory

National Provider Directory

Locations

333 Gellert Blvd
Ste 116
Daly City, CA 94015
Phone (415) 548-0000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1639471998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD",
            "address_2": "SUITE 116",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152621",
            "fax_number": "650-992-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD",
            "address_2": "SUITE 116",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152621",
            "telephone_number": "415-548-0000",
            "fax_number": "650-992-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPAQ HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "ARADA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "CEO- PRESIDENT",
        "authorized_official_telephone_number": "415-548-0000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "OT6758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.