Organization Active NPI

Ienrichment Home Health Care

  • Home Health Agency
  • Upland, CA
National Provider Identifier
1699367714
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IENRICHMENT HOME HEALTH CARE
Practice address
222 N Mountain Ave Ste 221B
Upland, CA 91786-5714
Phone
(909) 687-0604
Fax
(909) 498-1122
NPI assigned
Feb 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Adegboyega Abiodun Agbelusi
Title
Ceo/Owner
Phone
(909) 232-0994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

222 N Mountain Ave Ste 221B
Upland, CA 91786-5714

Mailing address

222 N Mountain Ave Ste 221B
Upland, CA 91786-5714
Phone (909) 687-0604

National Provider Directory

National Provider Directory

Locations

222 N Mountain Ave
Ste 221B
Upland, CA 91786
Phone (909) 687-0604

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1699367714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N MOUNTAIN AVE STE 221B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865714",
            "telephone_number": "909-687-0604",
            "fax_number": "909-498-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MOUNTAIN AVE STE 221B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865714",
            "telephone_number": "909-687-0604",
            "fax_number": "909-498-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IENRICHMENT HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "AGBELUSI",
        "authorized_official_first_name": "ADEGBOYEGA",
        "authorized_official_middle_name": "ABIODUN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "909-232-0994"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.