Inn Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INN HOME CARE LLC

Practice address

11632 Mount Waverly CT
Rancho Cucamonga, CA 91737-7904

Phone

(310) 242-0652

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Jubilant Enoh Ako

Title

Managing Director

Phone

(310) 242-0652

Specialties & licenses 1

Addresses

Other names 1

• Inn Home Care LLC Other name

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1649053299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11632 MOUNT WAVERLY CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917377904",
            "telephone_number": "310-242-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11632 MOUNT WAVERLY CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917377904",
            "telephone_number": "310-242-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "AKO",
        "authorized_official_first_name": "JUBILANT",
        "authorized_official_middle_name": "ENOH",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "310-242-0652"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inn Home Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• In Home Supportive Care Agency in California

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

Verify at the official NPI Registry.