Organization Active NPI

Amiable Care Coordination Agency, LLC

  • Driver
  • Redlands, CA
National Provider Identifier
1669270252
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Legal business name
AMIABLE CARE COORDINATION AGENCY, LLC
Practice address
30 E State St Ste 4
Redlands, CA 92373-4732
Phone
(909) 761-8151
NPI assigned
Mar 7, 2025
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Mr. William Anadeo
Title
Owner
Phone
(909) 761-8151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X NU Primary

Addresses

Primary practice location

30 E State St Ste 4
Redlands, CA 92373-4732

Mailing address

255 Blue Jay LN
Redlands, CA 92374-1653
Phone (909) 761-8151

National Provider Directory

National Provider Directory

Locations

30 E State St
Ste 4
Redlands, CA 92373
Phone (909) 761-8151

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1669270252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 BLUE JAY LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923741653",
            "telephone_number": "909-761-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E STATE ST STE 4",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734732",
            "telephone_number": "909-761-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIABLE CARE COORDINATION AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "ANADEO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-761-8151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.