Concerned Citizens for the Development of the North Fontana

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CONCERNED CITIZENS FOR THE DEVELOPMENT OF THE NORTH FONTANA

Practice address

16666 Baseline Ave
Fontana, CA 92336-2043

Phone

(909) 333-9950

Fax

(909) 440-5659

NPI assigned

Mar 12, 2014

Last updated

Mar 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ellen A Turner

Title

Pres

Phone

(909) 333-9950

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1699191866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16666 BASELINE AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923362043",
            "telephone_number": "909-333-9950",
            "fax_number": "909-440-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16666 BASELINE AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923362043",
            "telephone_number": "909-333-9950",
            "fax_number": "909-440-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERNED CITIZENS FOR THE DEVELOPMENT OF THE NORTH FONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "909-333-9950",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Fontana, CA
• Providers in Fontana, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.