Organization Active NPI

Mater Dei Ministries LLC

  • In Home Supportive Care Agency
  • Palmdale, CA
National Provider Identifier
1730951591
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MATER DEI MINISTRIES LLC
Practice address
1050 E Palmdale Blvd Ste 209
Palmdale, CA 93550-4750
Phone
(661) 365-0200
NPI assigned
Oct 25, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Greg Jaurequi
Title
Ceo
Phone
(661) 365-0200

Specialties & licenses 1

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

Addresses

Primary practice location

1050 E Palmdale Blvd Ste 209
Palmdale, CA 93550-4750

Mailing address

1050 E Palmdale Blvd Ste 209
Palmdale, CA 93550-4750
Phone (661) 365-0200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1730951591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E PALMDALE BLVD STE 209",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504750",
            "telephone_number": "661-365-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E PALMDALE BLVD STE 209",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504750",
            "telephone_number": "661-365-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATER DEI MINISTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "JAUREQUI",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-365-0200"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.