Active NPI
White Star Health Systems, Inc.
- Home Health Agency
- Riverside, CA
National Provider Identifier
1700807476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- WHITE STAR HEALTH SYSTEMS, INC.
- Practice address
- 4100 Latham St
Ste H
Riverside, CA 92501-1733 - Phone
- (951) 684-4589
- Fax
- (951) 684-6051
- NPI assigned
- Jul 21, 2006
- Last updated
- Dec 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick Rojas Afan
- Title
- Chief Financial Officer
- Phone
- (951) 684-4589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CA | Primary |
Addresses
Primary practice location
4100 Latham St
Ste H
Riverside, CA 92501-1733
Mailing address
4100 Latham St
Ste H
Riverside, CA 92501-1733
Phone (951) 684-4589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08272F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
4100 Latham St
Riverside, CA 92501
Phone (951) 248-1291
4100 Latham St
Ste H
Riverside, CA 92501
Phone (951) 684-4589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196640000000",
"number": "1700807476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 LATHAM ST",
"address_2": "STE H",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011733",
"telephone_number": "951-684-4589",
"fax_number": "951-684-6051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 LATHAM ST",
"address_2": "STE H",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011733",
"telephone_number": "951-684-4589",
"fax_number": "951-684-6051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE STAR HEALTH SYSTEMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2007-12-03",
"status": "A",
"authorized_official_last_name": "AFAN",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "ROJAS",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "951-684-4589",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA08272F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.