Organization Active NPI

Sustainable Health Initiative Inc

  • Home Health Agency
  • Diamond Bar, CA
National Provider Identifier
1790360550
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUSTAINABLE HEALTH INITIATIVE INC
Doing business as
Inland Valley Home Health Care
Practice address
404 S Prospectors Rd Ste a
Diamond Bar, CA 91765-1617
Phone
(909) 225-2721
Fax
(909) 736-3113
NPI assigned
Mar 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Mr. Mohammed Arif Khan
Title
Cfo
Phone
(909) 225-2721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

404 S Prospectors Rd Ste a
Diamond Bar, CA 91765-1617

Mailing address

21809 Paint Brush LN
Diamond Bar, CA 91765-2834
Phone (909) 225-2721

Other names 1

  • Inland Valley Home Health Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2267023Sustainable Health Initiative Inc404 S Prospectors Rd Ste a, Diamond Bar, CA 91765Certificate of waiverAug 18, 2026

National Provider Directory

National Provider Directory
Tax ID family
Inland Valley Home Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

404 S Prospectors Rd
Ste A
Diamond Bar, CA 91765
Phone (909) 225-2721

414 S Prospectors Rd
Ste C1
Diamond Bar, CA 91765
Phone (909) 225-2721

NPI Registry JSON

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1790360550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21809 PAINT BRUSH LN",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652834",
            "telephone_number": "909-225-2721",
            "fax_number": "909-736-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S PROSPECTORS RD STE A",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651617",
            "telephone_number": "909-225-2721",
            "fax_number": "909-736-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTAINABLE HEALTH INITIATIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-13",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ARIF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-225-2721",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Valley Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.