La Homecare Provider Inc

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

980001434 Issued in CA

Legal business name

LA HOMECARE PROVIDER INC

Practice address

1117 Via Verde
San Dimas, CA 91773-4400

Phone

(909) 599-0777

Fax

(909) 599-0711

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Marney Martinez, RN

Title

Vice Pres/ Administrator

Phone

(909) 599-0777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1811956394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 VIA VERDE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734400",
            "telephone_number": "909-599-0777",
            "fax_number": "909-599-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 VIA VERDE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734400",
            "telephone_number": "909-599-0777",
            "fax_number": "909-599-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA HOMECARE PROVIDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARNEY",
        "authorized_official_title_or_position": "VICE PRES/ ADMINISTRATOR",
        "authorized_official_telephone_number": "909-599-0777",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "980001434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Kuang, MD
• Danielle Jessica Kubanis
• Jason Kubanis
• Patrick John Kurt, MD
• Maki Kusunaga, NP-C
• La Pharmacie, Inc
• Elvira Arlene Laguna
• Andy Lam, M.D.
• Julie Lam, O.D.
• Melissa Lamoureux, LMFT

• Home Health Registered Nurse in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.