Basic Living Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BASIC LIVING HOME CARE LLC

Practice address

222 E Main St Ste 216
Barstow, CA 92311-2366

Phone

(909) 334-7172

NPI assigned

Nov 16, 2020

Organization subpart

No

Name

Callistus E Amajoyi

Title

Owner/President

Phone

(909) 334-7172

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2020.

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1659973469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E MAIN ST STE 216",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112366",
            "telephone_number": "909-334-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MAIN ST STE 216",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112366",
            "telephone_number": "909-334-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC LIVING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "AMAJOYI",
        "authorized_official_first_name": "CALLISTUS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "909-334-7172"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Travis Bates
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• Norman Nelson Vergara Bay, RPH
• Brenna Elaine Baynard-Smith, M.D.

• All providers in Barstow, CA
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.