Active NPI
Life Saver in-Home Support Services
- In Home Supportive Care Agency
- Vista, CA
National Provider Identifier
1699127738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 374700146
- Legal business name
- LIFE SAVER IN-HOME SUPPORT SERVICES
- Practice address
- 1604 Rush Ave
Vista, CA 92084-3050 - Phone
- (760) 536-6379
- Fax
- (760) 215-7711
- NPI assigned
- Jul 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rufino Cupido Balanquit
- Title
- Owner
- Phone
- (760) 214-8124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 374700146 | CA | Primary |
Addresses
Primary practice location
1604 Rush Ave
Vista, CA 92084-3050
Mailing address
1604 Rush Ave
Vista, CA 92084-3050
Phone (760) 536-6379
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468281600000",
"number": "1699127738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 RUSH AVE",
"city": "VISTA",
"state": "CA",
"postal_code": "920843050",
"telephone_number": "760-536-6379",
"fax_number": "760-215-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 RUSH AVE",
"city": "VISTA",
"state": "CA",
"postal_code": "920843050",
"telephone_number": "760-536-6379",
"fax_number": "760-215-7711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE SAVER IN-HOME SUPPORT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-12",
"last_updated": "2016-07-12",
"status": "A",
"authorized_official_last_name": "BALANQUIT",
"authorized_official_first_name": "RUFINO",
"authorized_official_middle_name": "CUPIDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-214-8124",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "CA",
"license": "374700146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.