Active NPI
Romel Hendrix
- In Home Supportive Care Agency
- Rialto, CA
National Provider Identifier
1699176792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 1310047
- Practice address
- 3654 Ponderosa Ave
Rialto, CA 92377-3426 - Phone
- (909) 822-8166
- NPI assigned
- Sep 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1310047 | CA | |
| In Home Supportive Care Agency | 253Z00000X | 1310047 | CA | Primary |
Addresses
Primary practice location
3654 Ponderosa Ave
Rialto, CA 92377-3426
Mailing address
3654 Ponderosa Ave
Rialto, CA 92377-3426
Phone (909) 822-8166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1310047 | CA | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1699176792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3654 PONDEROSA AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923773426",
"telephone_number": "909-822-8166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3654 PONDEROSA AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923773426",
"telephone_number": "909-822-8166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "ROMEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "1310047",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "CA",
"license": "1310047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
- Stephanie Ellen Hedrick Harwell, LMFT
- Hedyeh M Golshan MD and Associates Inc
- Jennifer Kachelek Heim
- Helen Angels Transportation Service LLC
- Helping Hearts California, LLC
- Henry S. Kwon, D.D.S. Inc.
- Valerie Jean Hentzschel, MSW
- Sonye Herbin, MHS
- Courtney Marie Hernandez, RDAEF2
- Jaden Harell Hernandez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.