Office of Samoan Affairs of California

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OFFICE OF SAMOAN AFFAIRS OF CALIFORNIA

Doing business as

Grace Homce Care

Practice address

998399 Ottoville Tafuna
Pago Pago, AMERICAN SAMOA 96799
UM

Phone

(684) 699-8091

NPI assigned

May 4, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. June V Pouesi, M.A.NPI 1508121476

Title

Executive Director

Phone

(310) 538-0555

Specialties & licenses 1

Addresses

Other names 1

• Grace Homce Care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• June V Pouesi

  • Case Manager/Care Coordinator
  • NPI 1508121476
  NPD (past) Authorized official
• Adrienne Alo, B.S

  • Case Manager/Care Coordinator
  • Fullerton, CA
  • NPI 1366614570
  NPD (past)

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1801273420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20715 AVALON BLVD STE 200",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463319",
            "telephone_number": "310-538-0555",
            "fax_number": "310-538-1960"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "998399 OTTOVILLE TAFUNA",
            "city": "PAGO PAGO",
            "state": "AMERICAN SAMOA",
            "postal_code": "96799",
            "telephone_number": "684-699-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE OF SAMOAN AFFAIRS OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "POUESI",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-538-0555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Homce Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.