Active NPI
Cherry Blossom Home Health, Inc.
- Home Health Agency
- San Bernardino, CA
National Provider Identifier
1780129379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.