Organization Active NPI

Cherry Blossom Home Health, Inc.

  • Home Health Agency
  • San Bernardino, CA
National Provider Identifier
1780129379
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHERRY BLOSSOM HOME HEALTH, INC.
Practice address
577 N D St
Ste 105
San Bernardino, CA 92401-1324
Phone
(909) 999-8515
Fax
(888) 754-7048
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Ms. Maria Roselle Clark, RN
Title
President/Ceo
Phone
(909) 999-8515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

577 N D St
Ste 105
San Bernardino, CA 92401-1324

Mailing address

577 N D St
Ste 105
San Bernardino, CA 92401-1324
Phone (909) 999-8515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1780129379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 N D ST",
            "address_2": "STE 105",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011324",
            "telephone_number": "909-999-8515",
            "fax_number": "888-754-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 N D ST",
            "address_2": "STE 105",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011324",
            "telephone_number": "909-999-8515",
            "fax_number": "888-754-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY BLOSSOM HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MARIA ROSELLE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-999-8515",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.