Organization Active NPI

CBL

  • In Home Supportive Care Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1780084145
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CBL
Practice address
9057 Arrow Rte
Suite 180
Rancho Cucamonga, CA 91730-4452
Phone
(909) 484-0933
Fax
(909) 484-0939
NPI assigned
Sep 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
Charmaine Burnett
Title
President
Phone
(909) 484-0933

Specialties & licenses 1

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

Addresses

Primary practice location

9057 Arrow Rte
Suite 180
Rancho Cucamonga, CA 91730-4452

Mailing address

9057 Arrow Rte
Suite 180
Rancho Cucamonga, CA 91730-4452
Phone (909) 484-0933

National Provider Directory

National Provider Directory

Locations

9057 Arrow Rte
Ste 180
Rch Cucamonga, CA 91730
Phone (909) 484-0933

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1780084145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9057 ARROW RTE",
            "address_2": "SUITE 180",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304452",
            "telephone_number": "909-484-0933",
            "fax_number": "909-484-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9057 ARROW RTE",
            "address_2": "SUITE 180",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304452",
            "telephone_number": "909-484-0933",
            "fax_number": "909-484-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-484-0933"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.