Organization Active NPI

White Star Health Systems, Inc.

  • Home Health Agency
  • Riverside, CA
National Provider Identifier
1700807476
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HHA08272FMedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.