Organization Active NPI

Your Highness Home Care

  • In Home Supportive Care Agency
  • Victorville, CA
National Provider Identifier
1780393967
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
YOUR HIGHNESS HOME CARE
Practice address
14420 Civic Dr Ste 6
Victorville, CA 92392-2384
Phone
(888) 123-4567
NPI assigned
Nov 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Conitha Clemons
Title
Owner
Phone
(888) 123-4567

Specialties & licenses 1

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

Addresses

Primary practice location

14420 Civic Dr Ste 6
Victorville, CA 92392-2384

Mailing address

14420 Civic Dr Ste 6
Victorville, CA 92392-2384

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1780393967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 CIVIC DR STE 6",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14420 CIVIC DR STE 6",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922384",
            "telephone_number": "888-123-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HIGHNESS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "CONITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-123-4567"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.