Organization Active NPI

Mayberry Care, Inc.

Doing business as Visiting Angels Upland

  • In Home Supportive Care Agency
  • Upland, CA
National Provider Identifier
1730643974
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAYBERRY CARE, INC.
Doing business as
Visiting Angels Upland
Practice address
172 D St
Upland, CA 91786-4707
Phone
(909) 982-4646
Fax
(909) 256-3608
NPI assigned
Jan 22, 2019
Last updated
Jan 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Alina Toral
Title
Ceo
Phone
(909) 982-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

172 D St
Upland, CA 91786-4707

Mailing address

172 D St
Upland, CA 91786-4707
Phone (909) 982-4646

Other names 1

  • Visiting Angels Upland Doing business as

National Provider Directory

National Provider Directory

Locations

172 D St
Upland, CA 91786
Phone (909) 982-4646

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1730643974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 D ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864707",
            "telephone_number": "909-982-4646",
            "fax_number": "909-256-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 D ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864707",
            "telephone_number": "909-982-4646",
            "fax_number": "909-256-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBERRY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "TORAL",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-982-4646"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels Upland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.