Organization Active NPI

Mecca Home Health Services Group Inc

  • Home Health Agency
  • Covina, CA
National Provider Identifier
1720185929
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MECCA HOME HEALTH SERVICES GROUP INC
Practice address
246 W College St
Suite 202
Covina, CA 91723
Phone
(626) 732-1935
Fax
(626) 732-2835
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Liberty Mendoza Dacudao
Title
Administrator
Phone
(626) 732-1935

Specialties & licenses 1

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

Addresses

Primary practice location

246 W College St
Suite 202
Covina, CA 91723

Mailing address

246 W College St
Suite 202
Covina, CA 91723
Phone (626) 732-1935

National Provider Directory

National Provider Directory

Locations

754 N Citrus Ave
Covina, CA 91723
Phone (626) 732-1935

246 W College St
#202
Covina, CA 91723
Phone (626) 732-1935

246 W College St
Ste 202
Covina, CA 91723
Phone (626) 732-1935

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720185929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 W COLLEGE ST",
            "address_2": "SUITE 202",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "626-732-1935",
            "fax_number": "626-732-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 W COLLEGE ST",
            "address_2": "SUITE 202",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "626-732-1935",
            "fax_number": "626-732-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECCA HOME HEALTH SERVICES GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DACUDAO",
        "authorized_official_first_name": "LIBERTY",
        "authorized_official_middle_name": "MENDOZA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-732-1935"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.