Organization Active NPI

D&C Angels Home Care LLC

  • Adult Care Home Facility
  • Loma Linda, CA
National Provider Identifier
1720690217
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
D&C ANGELS HOME CARE LLC
Practice address
1859 Shedden Dr
Loma Linda, CA 92354-1794
Phone
(909) 283-4455
Fax
(909) 283-4300
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Mrs. Catherine G Holcomb
Title
Manager
Phone
(951) 836-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1859 Shedden Dr
Loma Linda, CA 92354-1794

Mailing address

1859 Shedden Dr
Loma Linda, CA 92354-1794
Phone (909) 283-4455

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1720690217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 SHEDDEN DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541794",
            "telephone_number": "909-283-4455",
            "fax_number": "909-283-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 SHEDDEN DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541794",
            "telephone_number": "909-283-4455",
            "fax_number": "909-283-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&C ANGELS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-836-8288",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.