Ptmx2 LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PTMX2 LLC

Practice address

33431 Harvest Way
Wildomar, CA 92595-9118

Phone

(951) 901-3394

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Payton Ortolani

Title

Owner

Phone

(951) 901-3394

Specialties & licenses 1

Addresses

Other names 1

• Acti-Kare Responsive In-Home Care Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1710600309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33431 HARVEST WAY",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959118",
            "telephone_number": "951-901-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33431 HARVEST WAY",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959118",
            "telephone_number": "951-901-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTMX2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "ORTOLANI",
        "authorized_official_first_name": "PAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-901-3394"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "portolani@actikare.com",
            "affiliation": "N",
            "address_1": "33431 Harvest Way",
            "city": "Wildomar",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925959118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Acti-Kare Responsive In-Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Wildomar, CA
• Providers in Wildomar, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.