Pro-Care Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRO-CARE HOME HEALTH

Practice address

11900 Avalon Blvd Ste 101B
Los Angeles, CA 90061-2867

Phone

(323) 747-9895

NPI assigned

Feb 14, 2022

Organization subpart

No

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

Authorized official

Name

Loreta Fabian

Title

Ceo

Phone

(707) 344-2458

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1679228159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 AVALON BLVD STE 101B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612867",
            "telephone_number": "323-747-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 AVALON BLVD STE 101B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612867",
            "telephone_number": "323-747-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-CARE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "FABIAN",
        "authorized_official_first_name": "LORETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-344-2458"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES OF INCORPORATION",
            "identifier": "C4837126",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Proactive Work Health Medical Center Inc
• Danyelle Proano

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Feb 14, 2022; 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.