Careline Homecare Services, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

304700038 Issued in CA

Legal business name

CARELINE HOMECARE SERVICES, INC.

Practice address

23591 El Toro Rd
Suite 265
Lake Forest, CA 92630-4774

Phone

(949) 215-9130

Fax

(949) 305-9752

NPI assigned

Nov 16, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Peter San Agustin Montinola

Title

President

Phone

(949) 215-9130

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1699217935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23591 EL TORO RD",
            "address_2": "SUITE 265",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304774",
            "telephone_number": "949-215-9130",
            "fax_number": "949-305-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23591 EL TORO RD",
            "address_2": "SUITE 265",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304774",
            "telephone_number": "949-215-9130",
            "fax_number": "949-305-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINE HOMECARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "MONTINOLA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "SAN AGUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-215-9130",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "304700038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.