Double Ace Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2400879 Issued in CA

Legal business name

DOUBLE ACE HOME HEALTH SERVICES, INC.

Practice address

600 N Mountain Ave Ste B205
Upland, CA 91786-4366

Phone

(909) 946-3577

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Chona Probadora De la Rosa

Title

Cfo

Phone

(909) 946-3577

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790795284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE B205",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864366",
            "telephone_number": "909-946-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE B205",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864366",
            "telephone_number": "909-946-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE ACE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "CHONA",
        "authorized_official_middle_name": "PROBADORA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-946-3577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "2400879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2506037",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Upland, CA
• Providers in Upland, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.