Organization Active NPI

Lani de Guzman

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1699069229
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
200415-0002-7 Issued in CA
Legal business name
LANI DE GUZMAN
Practice address
1130 Campbell St
110
Glendale, CA 91207-1674
Phone
(213) 393-2792
Fax
(213) 406-8014
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Lani De Guzman
Title
Executive Director
Phone
(213) 393-2792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 200415-0002-7 CA Primary

Addresses

Primary practice location

1130 Campbell St
110
Glendale, CA 91207-1674

Mailing address

1130 N. Campbell St
110
Glendale, CA 91207-1674
Phone (213) 393-2792

Other names 1

  • Elite Home Care Solutions Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1699069229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N. CAMPBELL ST",
            "address_2": "110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071674",
            "telephone_number": "213-393-2792",
            "fax_number": "213-406-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 CAMPBELL ST",
            "address_2": "110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071674",
            "telephone_number": "213-393-2792",
            "fax_number": "213-406-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANI DE GUZMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "LANI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-393-2792"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "200415-0002-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Home Care Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.