NPIMap

Organization Active NPI

Kern Home Health Resources

Doing business as Coram Healthcare

  • Home Infusion Therapy Pharmacy
  • Bakersfield, CA
National Provider Identifier
1699725739
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PHY 41725 Issued in CA
Legal business name
KERN HOME HEALTH RESOURCES
Doing business as
Coram Healthcare
Practice address
3101 Sillect Ave
#109
Bakersfield, CA 93308-6348
Phone
(661) 325-8326
Fax
(661) 325-6509
NPI assigned
May 11, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
KERN HOME HEALTH RESOURCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Vito Ponzio, Jr.
Title
Sr VP
Phone
(303) 672-8631

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 120000325 CA
Home Infusion Agency 251F00000X 120000325 CA
Infusion Therapy Clinic/Center 261QI0500X CA
Durable Medical Equipment & Medical Supplies 332B00000X -PHY48940 CA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PHY 41725 CA
Pharmacy 333600000X PHY 41725 CA
Community/Retail Pharmacy 3336C0003X PHY 41725 CA
Home Infusion Therapy Pharmacy 3336H0001X PHY 41725 CA Primary
Mail Order Pharmacy 3336M0002X PHY 41725 CA

Addresses

Primary practice location

3101 Sillect Ave
#109
Bakersfield, CA 93308-6348

Mailing address

1675 Broadway
Suite 900
Denver, CO 80202-4675
Phone (303) 672-8631

Other identifiers 4

IdentifierTypeStateIssuer
PHA417250MedicaidCA
-PHY48940OtherCAPHARMACY LICENSE
0522474OtherNCPDP
120000325OtherCAHOME HEALTH AGENCY

Other names 1

  • Coram Healthcare Doing business as

National Provider Directory

National Provider Directory
Part of
Kern Home Health Resour

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 305

Organizations listed as members of this organization in the National Provider Directory.

View all 305

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699725739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 BROADWAY",
            "address_2": "SUITE 900",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802024675",
            "telephone_number": "303-672-8631",
            "fax_number": "303-298-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SILLECT AVE",
            "address_2": "#109",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086348",
            "telephone_number": "661-325-8326",
            "fax_number": "661-325-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN HOME HEALTH RESOURCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KERN HOME HEALTH RESOURCES",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PONZIO, JR.",
        "authorized_official_first_name": "VITO",
        "authorized_official_title_or_position": "SR VP",
        "authorized_official_telephone_number": "303-672-8631"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "120000325",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "CA",
            "license": "120000325",
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "-PHY48940",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "PHY 41725",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 41725",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 41725",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "PHY 41725",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "CA",
            "license": "PHY 41725",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA417250",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "-PHY48940",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0522474",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY",
            "identifier": "120000325",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coram Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.