Organization Active NPI

Cqi Homecare Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1700060290
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CQI HOMECARE INC
Practice address
520 E Wilson Ave
Suite 230
Glendale, CA 91206-4374
Phone
(818) 549-4830
Fax
(818) 548-4832
NPI assigned
Dec 20, 2007
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
CQI HOMECARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Nena Basical Villania, RN, MA
Title
Ceo/Administrator
Phone
(818) 549-4830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CO Primary

Addresses

Primary practice location

520 E Wilson Ave
Suite 230
Glendale, CA 91206-4374

Mailing address

520 E Wilson Ave
Suite 230
Glendale, CA 91206-4374
Phone (818) 549-4830

Other identifiers 2

IdentifierTypeStateIssuer
058119OtherDEMEDIARE PROVIDER NUMBER
HHA-08118FOtherDEMEDICAL PROVIDER NUMBER

National Provider Directory

National Provider Directory
Part of
Cqi Homecare Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1700060290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E WILSON AVE",
            "address_2": "SUITE 230",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064374",
            "telephone_number": "818-549-4830",
            "fax_number": "818-548-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E WILSON AVE",
            "address_2": "SUITE 230",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064374",
            "telephone_number": "818-549-4830",
            "fax_number": "818-548-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CQI HOMECARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CQI HOMECARE INC",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "VILLANIA",
        "authorized_official_first_name": "NENA",
        "authorized_official_middle_name": "BASICAL",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "818-549-4830",
        "authorized_official_credential": "RN, MA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIARE PROVIDER NUMBER",
            "identifier": "058119",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "HHA-08118F",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.