Organization Active NPI

Life Saver in-Home Support Services

  • In Home Supportive Care Agency
  • Vista, CA
National Provider Identifier
1699127738
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
374700146 Issued in CA
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

Updated by the provider on Jul 12, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.