Organization Active NPI

Holy Hill Home Care

  • Assisted Living Facility
  • Yucaipa, CA
National Provider Identifier
1669778882
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
366402904 Issued in CA
Legal business name
HOLY HILL HOME CARE
Practice address
33922 Colorado St
Yucaipa, CA 92399-2330
Phone
(909) 446-0296
Fax
(909) 446-0296
NPI assigned
Feb 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Mrs. Maria Puraci, LVN
Title
Owner
Phone
(909) 446-0296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 366402904 CA Primary

Addresses

Primary practice location

33922 Colorado St
Yucaipa, CA 92399-2330

Mailing address

33922 Colorado St
Yucaipa, CA 92399-2330
Phone (909) 446-0296

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1669778882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33922 COLORADO ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992330",
            "telephone_number": "909-446-0296",
            "fax_number": "909-447-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33922 COLORADO ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992330",
            "telephone_number": "909-446-0296",
            "fax_number": "909-446-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY HILL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "PURACI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-446-0296",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "366402904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.