Organization Active NPI

Home Care Spectrum LLC

  • Home Health Agency
  • Costa Mesa, CA
National Provider Identifier
1730469271
Registry record updated Aug 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME CARE SPECTRUM LLC
Practice address
2973 Harbor Blvd
Suite 621
Costa Mesa, CA 92626-3912
Phone
(949) 667-0942
NPI assigned
Aug 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2011

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

Authorized official

Name
Mr. Angelito Demeris Roan
Title
Ceo
Phone
(949) 667-0932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2973 Harbor Blvd
Suite 621
Costa Mesa, CA 92626-3912

Mailing address

2973 Harbor Blvd
Suite 621
Costa Mesa, CA 92626-3912
Phone (949) 667-0942

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314403200000",
    "number": "1730469271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 HARBOR BLVD",
            "address_2": "SUITE 621",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912",
            "telephone_number": "949-667-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 HARBOR BLVD",
            "address_2": "SUITE 621",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912",
            "telephone_number": "949-667-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE SPECTRUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-27",
        "last_updated": "2011-08-27",
        "status": "A",
        "authorized_official_last_name": "ROAN",
        "authorized_official_first_name": "ANGELITO",
        "authorized_official_middle_name": "DEMERIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-667-0932",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; 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.