NPIMap

Organization Active NPI

County of San Bernardino

  • In Home Supportive Care Agency
  • San Bernardino, CA
National Provider Identifier
1669802708
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COUNTY OF SAN BERNARDINO
Practice address
784 E Hospitality LN
San Bernardino, CA 92415
Phone
(909) 891-3917
Fax
(909) 891-3979
NPI assigned
Nov 26, 2013
Last updated
Apr 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Ms. Sharon Nevins, LCSW, MA-PPM
Title
Director/Public Guardian
Phone
(909) 891-3917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

784 E Hospitality LN
San Bernardino, CA 92415

Mailing address

784 E Hospitality LN
San Bernardino, CA 92415
Phone (909) 891-3917

Other names 1

  • Department of Aging and Adult Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Valley Guidance Center142 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

784 E Hospitality Ln
San Bernardino, CA 92415
Phone (909) 891-3700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1669802708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 E HOSPITALITY LN",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92415",
            "telephone_number": "909-891-3917",
            "fax_number": "909-891-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 E HOSPITALITY LN",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92415",
            "telephone_number": "909-891-3917",
            "fax_number": "909-891-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN BERNARDINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "NEVINS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "DIRECTOR/PUBLIC GUARDIAN",
        "authorized_official_telephone_number": "909-891-3917",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, MA-PPM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Aging and Adult Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Department of Aging and Adult Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.