Restora Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

240000707 Issued in CA

Legal business name

RESTORA HOME HEALTH, INC.

Practice address

1317 W. Foothill Blvd.
Suite 130
Upland, CA 91786-3684

Phone

(909) 931-0710

Fax

(909) 931-0395

NPI assigned

Aug 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Charles V. Williams

Title

Ceo

Phone

(949) 533-0367

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1649272113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W. FOOTHILL BLVD.",
            "address_2": "SUITE 130",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863684",
            "telephone_number": "909-931-0710",
            "fax_number": "909-931-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W. FOOTHILL BLVD.",
            "address_2": "SUITE 130",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863684",
            "telephone_number": "909-931-0710",
            "fax_number": "909-931-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-533-0367",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08029F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Upland, CA
• Providers in Upland, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.