Organization Active NPI

Kamillia Home Health Inc.

  • Home Health Agency
  • Montrose, CA
National Provider Identifier
1639827967
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KAMILLIA HOME HEALTH INC.
Practice address
2550 Honolulu Ave Ste 204a
Montrose, CA 91020-1860
Phone
(747) 399-5818
Fax
(747) 399-6555
NPI assigned
Mar 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Yana Pergamenshchik
Title
Owner
Phone
(216) 466-3209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2550 Honolulu Ave Ste 204a
Montrose, CA 91020-1860

Mailing address

2550 Honolulu Ave Ste 204a
Montrose, CA 91020-1860
Phone (747) 399-5818

Other names 1

  • Kamillia Home Health Former legal business name

National Provider Directory

National Provider Directory

Locations

2550 Honolulu Ave
Ste 204A
Montrose, CA 91020
Phone (747) 399-5818

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1639827967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 HONOLULU AVE STE 204A",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201860",
            "telephone_number": "747-399-5818",
            "fax_number": "747-399-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HONOLULU AVE STE 204A",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201860",
            "telephone_number": "747-399-5818",
            "fax_number": "747-399-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMILLIA HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "PERGAMENSHCHIK",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-466-3209"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kamillia Home Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Montrose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.