Active NPI
Daily Living Support Riverside LLC
Doing business as Home Instead
- In Home Supportive Care Agency
- Riverside, CA
National Provider Identifier
1639873011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- DAILY LIVING SUPPORT RIVERSIDE LLC
- Doing business as
- Home Instead
- Practice address
- 6751 Brockton Ave
Riverside, CA 92506-3023 - Phone
- (951) 369-7047
- NPI assigned
- Mar 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Southard
- Title
- President
- Phone
- (562) 322-0432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
6751 Brockton Ave
Riverside, CA 92506-3023
Mailing address
6751 Brockton Ave
Riverside, CA 92506-3023
Phone (513) 697-0479
Other names 1
- Home Instead
National Provider Directory
National Provider DirectoryLocations
6751 Brockton Ave
Riverside, CA 92506
Phone (951) 369-7047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1639873011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6751 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063023",
"telephone_number": "513-697-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6751 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063023",
"telephone_number": "951-369-7047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAILY LIVING SUPPORT RIVERSIDE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-29",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "SOUTHARD",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-322-0432"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Instead",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.