Organization Active NPI

Citrus Senior Care

  • In Home Supportive Care Agency
  • San Bernardino, CA
National Provider Identifier
1780362152
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CITRUS SENIOR CARE
Practice address
2895 U St # 7
San Bernardino, CA 92408-0207
Phone
(909) 206-4172
NPI assigned
Jul 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Thomas Cook
Title
Owner
Phone
(909) 206-4172

Specialties & licenses 1

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

Addresses

Primary practice location

2895 U St # 7
San Bernardino, CA 92408-0207

Mailing address

2895 U St # 7
San Bernardino, CA 92408-0207
Phone (909) 206-4172

National Provider Directory

National Provider Directory

Locations

101 E Redlands Blvd
Ste 293
Redlands, CA 92373

2895 U St
#7
San Bernardino, CA 92408
Phone (909) 206-4172

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1780362152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 U ST # 7",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924080207",
            "telephone_number": "909-206-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 U ST # 7",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924080207",
            "telephone_number": "909-206-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-206-4172"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Jun 19, 2025; 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.