NPIMap

Organization Active NPI

Iaatk Inc

Doing business as Superior Senior Home Care

  • In Home Supportive Care Agency
  • Lompoc, CA
National Provider Identifier
1700437167
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IAATK INC
Doing business as
Superior Senior Home Care
Practice address
320 E Walnut Ave
Lompoc, CA 93436-6835
Phone
(805) 588-0213
NPI assigned
Sep 26, 2019
Last updated
Sep 26, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
IAATK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Pablo Sandoval Martinez
Title
Ceo
Phone
(805) 737-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

320 E Walnut Ave
Lompoc, CA 93436-6835

Mailing address

320 E Walnut Ave
Lompoc, CA 93436-6835
Phone (805) 588-0213

Other names 1

  • Superior Senior Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Iaatk Inc2 organizations share this tax ID, including this one
Part of
Iaatk Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1700437167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E WALNUT AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366835",
            "telephone_number": "805-588-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E WALNUT AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366835",
            "telephone_number": "805-588-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAATK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IAATK INC",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "SANDOVAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-737-4357"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Senior Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.