Organization Active NPI

Eternity Health Care Services

  • Home Health Agency
  • Sacramento, CA
National Provider Identifier
1760781413
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
309281 Issued in CA
Legal business name
ETERNITY HEALTH CARE SERVICES
Practice address
10316 Placer LN Ste a
Sacramento, CA 95827-2557
Phone
(916) 363-2094
Fax
(916) 363-2621
NPI assigned
Mar 21, 2011
Last updated
Mar 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Mr. Norris Howard Moore Sr.
Title
Partner/General Manager
Phone
(916) 363-2094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 309281 CA Primary

Addresses

Primary practice location

10316 Placer LN Ste a
Sacramento, CA 95827-2557

Mailing address

10316 Placer LN Ste a
Sacramento, CA 95827-2557
Phone (916) 363-2094

National Provider Directory

National Provider Directory

Locations

10316 Placer Ln
Ste A
Sacramento, CA 95827
Phone (916) 363-2094

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1760781413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316 PLACER LN STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272557",
            "telephone_number": "916-363-2094",
            "fax_number": "916-363-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10316 PLACER LN STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272557",
            "telephone_number": "916-363-2094",
            "fax_number": "916-363-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNITY HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NORRIS",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PARTNER/GENERAL MANAGER",
        "authorized_official_telephone_number": "916-363-2094",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "309281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.